Shane Robinson

NPI #1104453950 in Blackfoot, Idaho

Provider Information

NPI Number
1104453950
Entity Type
Individual
Name
Shane Robinson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Mar 23, 2020
Last Updated
Mar 23, 2020

Practice Location

Address
131 W BRIDGE ST
State
Idaho
ZIP Code
83221-2704
Phone
(208) 782-0990

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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