Jenabella D Tracy
Jenabella D Tracy is a Student in an Organized Health Care Education/Training Program in Boise, Idaho. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
10108 W Lincroft StBoise, ID 83704-5037
Phone: (208) 906-4997
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1902276173 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 30, 2015 |
| Last updated in NPPES | September 30, 2015 |
| Mailing address | 10108 W Lincroft St, Boise, ID 83704-5037 |
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