JENABELLA D TRACY

BOISE, ID
NPI1902276173
Former NameJENABELLA D AUSTIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-09-30
Last Update Date2015-09-30
Business Address
-- JENABELLA D TRACY
10108 W LINCROFT ST
BOISE, ID 83704-5037
Phone number: 208-906-4997
Mailing Address
-- JENABELLA D TRACY
10108 W LINCROFT ST
BOISE, ID 83704-5037
Phone number: 208-906-4997