Jenabella D Tracy is a student in an organized health care education training program in Boise, ID. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jenabella D Tracy NPI is 1902276173. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
10108 W LINCROFT ST
BOISE, ID
ZIP 83704-037
Phone: (208) 906-4997
The enumeration date for this NPI number is 9/30/2015 and was last updated on 9/30/2015.