JACOB WAYDA

MERIDIAN, ID
NPI1801657713
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  76016)
Enumeration Date2024-01-17
Last Update Date2025-03-20
Business Address
JACOB WAYDA
1900 W CHINDEN BLVD
MERIDIAN, ID 83646-6690
Phone number: 208-809-2860
Mailing Address
JACOB WAYDA
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-955-6500
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