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Search › Idaho › Student in an Organized Health Care Education/Training Program

Jacob Waller

NPI 1295428191 · on the registry since 2023

Practice

Address
875 Perimeter Dr
Moscow, ID 83844
Phone
(208) 885-6111
Clinicians at this address
117

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Also registered as
Speech/Language/Hearing Specialist/Technologist
Sex
Male
Record last updated
2023-05-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho