Individual
JEFF DEAN WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
412 22ND AVE S, NAMPA, ID 83651-5424
(208) 250-6741
(208) 466-5226
Mailing address
412 22ND AVE S, NAMPA, ID 83651-5424
(208) 250-6741
(208) 466-5226
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MASG-346
ID
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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