Abeyta-Gaxiola, Cornisa Marie

Abeyta-Gaxiola, Cornisa Marie is an sole proprietor health care provider with primary practice located at 3749 E 190 N , Rigby ID 83442-5623. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Abeyta-Gaxiola, Cornisa Marie can be contacted via phone (208) 252-4074.

Contact Information

Primary practice address
3749 E 190 N Rigby ID 83442-5623
Phone: (208) 252-4074
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP 2098 Idaho

Profile Details

NPI number 1669882353
LBN Legal business name Abeyta-Gaxiola, Cornisa Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2014
Last updated Feb 14th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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