KADEN LYDE FACER

MERIDIAN, ID
NPI1740819986
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: ID  M-17652)
Enumeration Date2020-04-08
Last Update Date2025-03-25
Business Address
KADEN LYDE FACER MD
2273 E GALA ST STE 100
MERIDIAN, ID 83642-7289
Phone number: 208-898-8999
Mailing Address
KADEN LYDE FACER MD
2273 E GALA ST STE 100
MERIDIAN, ID 83642-7289
Phone number: 208-898-8999
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