SearchIdaho101YA0400X

Dougberto Zambrano, CADC

NPI 1659707578 · on the registry since 2013 · sole proprietor

Practice

Address
2211 E Locust St
Caldwell, ID 83605
Phone
(208) 454-5133
Fax
(208) 454-0749

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-09-24

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