TRACY JO ELLIS

HAYDEN LAKE, ID
NPI1649664442
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
(Licence: ID  MAS-1492)
Enumeration Date2015-03-19
Last Update Date2015-03-19
Business Address
-- TRACY JO ELLIS LMT
157 W HAYDEN AVE
HAYDEN LAKE, ID 83835-9650
Phone number: 509-216-3663
Mailing Address
-- TRACY JO ELLIS LMT
1628 W JUDY K DR
RATHDRUM, ID 83858-7502
Phone number: 509-216-3663