NPI 1093464919

Eberegbulam Amaechi

Practitioner Case Management Agency Nampa, ID

Practice location

Address: 3132 S Canyon St, Nampa, ID 83686-8378
Phone: (208) 440-4411

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1093464919
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Mar 2022
Record last updated: 18 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.