Yezenia Lora-Salas

NPI #1174980205 in Blackfoot, Idaho

Provider Information

NPI Number: 1174980205
Entity Type: Individual
Name: Yezenia Lora-Salas
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Jan 20, 2016
Last Updated: Jan 20, 2016

Practice Location

Address: RR 3 BOX 288
City: Blackfoot
State: Idaho
ZIP Code: 83221-9792
Phone: (208) 339-5686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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