Alicia Jean Cardona, PA-C

NPI #1588011928 in Gooding, Idaho

Provider Information

NPI Number: 1588011928
Entity Type: Individual
Name: Alicia Jean Cardona, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 16, 2016
Last Updated: Feb 24, 2020

Practice Location

Address: 267 N CANYON DR
City: Gooding
State: Idaho
ZIP Code: 83330-5500
Phone: (208) 934-4446

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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