RANDY RODRIQUEZ

IDAHO FALLS, ID
NPI1932660289
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  1083)
Enumeration Date2019-03-28
Last Update Date2019-03-28
Business Address
RANDY RODRIQUEZ
150 SHOUP AVE STE 17
IDAHO FALLS, ID 83402-3653
Phone number: 208-528-5700
Mailing Address
RANDY RODRIQUEZ
150 SHOUP AVE STE 17
IDAHO FALLS, ID 83402-3653
Phone number: 208-528-5700
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