Individual
JENNIFER L HOLCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
8000 S FEDERAL WAY, BOISE, ID 83716-9632
(208) 363-3246
(208) 368-4646
Mailing address
816 DAY DR, BOISE, ID 83705-5961
(208) 344-7536
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-203
ID
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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