Jacie Elaine Vander Waal

NPI #1205785326 in Sioux Center, Iowa

Provider Information

NPI Number: 1205785326
Entity Type: Individual
Name: Jacie Elaine Vander Waal
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 22, 2026
Last Updated: Jan 22, 2026

Practice Location

Address: 4163 HICKORY AVE
City: Sioux Center
State: Iowa
ZIP Code: 51250-7586
Phone: (712) 441-2160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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