TRACI H PERMENTER

BOISE, ID
NPI1588227656
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1717)
Enumeration Date2019-04-15
Last Update Date2020-11-18
Business Address
TRACI H PERMENTER PA-C
303 N ALLUMBAUGH ST
BOISE, ID 83704-9208
Phone number: 208-888-5848
Mailing Address
TRACI H PERMENTER PA-C
PO BOX 16303
BOISE, ID 83715-6303
Phone number: 713-858-1040
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