NPI 1235533217

Shawnee B Legarreta, RN

Practitioner Substance Abuse Rehabilitation Facility Gooding, ID

Practice location

Address: 605 11th Ave E, Gooding, ID 83330-5368
Phone: (208) 934-8461
Fax: (208) 934-5437

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence N45891 (ID)

Other Substance Abuse Rehabilitation Facility providers in Idaho →

Registry record

NPI: 1235533217
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Oct 2014
Record last updated: 20 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.