Individual
WAYCEE JAE IRISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1023 3RD ST, LEWISTON, ID 83501-2713
(208) 539-0629
Mailing address
1023 3RD ST, LEWISTON, ID 83501-2713
(208) 539-0629
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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