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Jonas Dethman — NPI 1063184554, Eagle, ID | NPI Central

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Jonas Dethman

NPI 1063184554 · Home Health Aide · Eagle, ID

Provider details

NPI number: 1063184554
Entity type: Individual
Primary specialty: Home Health AideNursing Service Related Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Home Health AidePrimary374U00000X
Nursing Service Related Providers

Practice location

239 Winged Foot Pl

Eagle, ID 83616-5265

Phone: (208) 473-0493

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Mailing address

239 Winged Foot Pl

Eagle, ID 83616-5265

Registry dates

Enumerated: 2021-10-02
Last updated: 2021-10-02
Certified: 2021-10-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.