Organization · Type 2 NPI

Carmen Hernandez Radford

Public Health or Welfare Agency · Idaho Falls, ID

NPI number 1588038616 Active

Practice location

3652 Washington Pkwy
Idaho Falls, ID 83404-7573

Call (208) 419-0593 Map

Mailing address

5451 Thatcher Ave
Idaho Falls, ID 83404-4935

Specialties and licenses

TaxonomyCodeLicense
Public Health or Welfare Agency Primary 251K00000XNP-1660A (ID)

Public Health or Welfare Agency: Definition to come...

8 other providers at this address

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About NPI 1588038616

Carmen Hernandez Radford's National Provider Identifier is 1588038616, issued on Dec 1, 2015. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Dec 1, 2015.