YISEL MENDIETA

IDAHO FALLS, ID
NPI1437926607
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: ID  000)
Enumeration Date2023-12-07
Last Update Date2023-12-07
Business Address
YISEL MENDIETA
522 LOMAX ST
IDAHO FALLS, ID 83401
Phone number: 208-522-6925
Mailing Address
YISEL MENDIETA
522 LOMAX ST
IDAHO FALLS, ID 83401
Phone number: 208-522-6925
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