TRACY JUNGMAN

BOISE, ID
NPI1841728342
Former NameTRACY WALLACE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  56035)
Enumeration Date2017-05-26
Last Update Date2022-07-21
Business Address
TRACY JUNGMAN NP
417 S 6TH ST
BOISE, ID 83702-7632
Phone number: 208-577-4460
Mailing Address
TRACY JUNGMAN NP
3561 N LA FONTANA WAY
BOISE, ID 83702-1526
Phone number: 208-409-3972
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