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Individual

JAYNE FEKETE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1771 E PINE AVE, MERIDIAN, ID 83642-5914
(208) 880-2895
Mailing address
8262 S SLIDE CREEK LN, MERIDIAN, ID 83642-7192
(208) 880-2895

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
DDA-6230
ID

Other

Enumeration date
11/22/2024
Last updated
01/17/2025
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