TAMARA ELAINE SHOUP

BOISE, ID
NPI1023986031
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy251B00000X Case Management
Additional Taxonomies171M00000X Case Manager/Care Coordinator
172V00000X Community Health Worker
251S00000X Community/Behavioral Health
Enumeration Date2025-10-29
Last Update Date2025-10-29
Business Address
TAMARA ELAINE SHOUP
545 N BENJAMIN LN STE 185
BOISE, ID 83704-9625
Phone number: 208-322-1026
Mailing Address
TAMARA ELAINE SHOUP
545 N BENJAMIN LN STE 185
BOISE, ID 83704-9625
Phone number: 208-322-1026