JACOB WAYDA

NAMPA, ID
NPI1801657713
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  76016)
Enumeration Date2024-01-17
Last Update Date2024-01-17
Business Address
JACOB WAYDA
63 SCOTCH PINE LN
NAMPA, ID 83687-3169
Phone number: 208-249-8463
Mailing Address
JACOB WAYDA
63 SCOTCH PINE LN
NAMPA, ID 83687-3169
Phone number: 208-249-8463
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