JACOB C REEDY

HAYDEN, ID
NPI1114530565
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  1010320)
Enumeration Date2020-08-26
Last Update Date2023-12-20
Business Address
Mr. JACOB C REEDY NP
1986 W. HAYDEN AVE
HAYDEN, ID 83835-7412
Phone number: 208-762-7760
Mailing Address
Mr. JACOB C REEDY NP
1986 W. HAYDEN AVE
HAYDEN, ID 83835-7412
Phone number: 208-762-7760
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