SearchIdaho376K00000X

Leticia Cruz Perez

NPI 1093450579 · on the registry since 2022 · sole proprietor

Practice

Address
870 Eden Dr
Idaho Falls, ID 83401
Phone
(208) 701-8256

Additional practice sites

  • 870 Eden Dr, Idaho Falls, ID

Registry record

Primary taxonomy
376K00000X
376K00000X
Also registered as
251E00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-04-29

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