Louie Cibrian

NPI 1770989659 - Social Worker - 104100000X

NPI Details
NPI 1770989659
Gender Male
Enumeration Date 11/05/2014
Last Updated 11/05/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
218 DIVIDEND DR
SUITE 3
REXBURG ID, 83440-3556, US
Phone (208) 359-9683
Fax
Business Location
218 DIVIDEND DR
SUITE 3
REXBURG ID, 83440-3556, US
Phone
Fax
Toxanomy
Taxonomy Code 104100000X
License State Idaho
License Number 34281
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According to our database, Louie Cibrian NPI is 1770989659, taxonomy code is 104100000X and license number is 34281, license state is located at Idaho. Louie Cibrian physically located at 218 Dividend Dr, Rexburg ID, 83440-3556. NPI Number Louie Cibrian has the Individual type.

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1770989659 NPI number is provided on an as is basis without warranty of any kind. 1770989659 is maintained by the National Plan & Provider Enumeration System. The contents of Louie Cibrian are for informational purposes only.