SearchIdaho101YA0400X

James Young, ISAS

NPI 1902453509 · on the registry since 2019 · sole proprietor

Practice

Address
504 11th Ave S
Nampa, ID 83651
Phone
(208) 936-2535
Fax
(208) 936-2534

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-08-20

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