ROSALIO L DIAZ

ROBERTS, ID
NPI1013223718
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy347C00000X Private Vehicle
(Licence: ID  XA151417I)
Enumeration Date2010-08-19
Last Update Date2010-08-19
Business Address
Mr. ROSALIO L DIAZ
644 NORTH 2865 EAST
ROBERTS, ID 83444-0108
Phone number: 208-228-2435
Mailing Address
Mr. ROSALIO L DIAZ
PO BOX 108
ROBERTS, ID 83444-0108
Phone number: 208-228-2435