Brayden Kay Waddoups

NPI #1992662100 in Rexburg, Idaho

Provider Information

NPI Number
1992662100
Entity Type
Individual
Name
Brayden Kay Waddoups
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
Jan 8, 2026
Last Updated
Jan 8, 2026

Practice Location

Address
393 E 2ND N
State
Idaho
ZIP Code
83440-1605
Phone
(208) 359-4840

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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