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Individual

FERDINAND NYABENDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3710 N CENTREPOINT WAY UNIT M101, MERIDIAN, ID 83646-3726
(208) 936-0670
Mailing address
3423 N CENTREPOINT WAY UNIT T101, MERIDIAN, ID 83646-6735
(208) 936-0670

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251S00000X
Community/Behavioral Health Agency
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
07/12/2023
Last updated
04/23/2026
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