| NPI |
Provider Name |
Address |
Type |
| 1396900361 | ORALIA BERMUDEZ | 2814 S INDIANA AVE
CALDWELL, ID
ZIP 83605
Phone: (208) 454-0380
| Individual |
| 1730349119 | MARY LOUISE ELMORE, COTA/L | 2814 S INDIANA AVE
CALDWELL, ID
ZIP 83605
Phone: (208) 454-0380
| Individual |
| 1790945855 | MR. DARREN MICHAEL STOUT, COTA/L | 2814 S INDIANA AVE
CALDWELL, ID
ZIP 83605
Phone: (208) 454-0380
| Individual |