Carmen Hernandez Radford
NPI #1588038616 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1588038616
- Entity Type
- Organization
- Organization Name
- Carmen Hernandez Radford
- Primary Specialty
- Public Health or Welfare
- Enumeration Date
- Dec 1, 2015
- Last Updated
- Dec 1, 2015
Practice Location
- Address
- 3652 WASHINGTON PKWY
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7573
- Phone
- (208) 419-0593
Authorized Official
- Name
- CARMEN HERNANDEZ RADFORD
- Title
- FNP
- Phone
- (208) 757-1854
Specialties & Taxonomy Codes
| Specialty |
|---|
| Public Health or Welfare |
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