SearchIdahoPrivate Vehicle

Rosalio Diaz

NPI 1013223718 · on the registry since 2010 · sole proprietor

Practice

Address
644 North 2865 East
Roberts, ID 83444
Phone
(208) 228-2435

Registry record

Primary taxonomy
Private Vehicle
347C00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-08-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho