Daisy Calderon

NPI #1194689844 in Moscow, Idaho

Provider Information

NPI Number: 1194689844
Entity Type: Individual
Name: Daisy Calderon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Dec 15, 2025
Last Updated: Dec 15, 2025

Practice Location

Address: 317 W 6TH ST STE 208
City: Moscow
State: Idaho
ZIP Code: 83843-2387
Phone: (208) 882-3504

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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