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Individual

TRACY ANN ALVAREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2040 YALE AVE, BURLEY, ID 83318-2249
(208) 219-9932
Mailing address
2040 YALE AVE, BURLEY, ID 83318-2249
(208) 219-9932

Taxonomy

Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
006413356
ID
347C00000X
Private Vehicle
006413356
ID
347E00000X
Transportation Broker
006413356
ID
372500000X
Chore Provider
006413356
ID
372600000X
Adult Companion
Primary
006413356
ID

Other

Enumeration date
05/06/2025
Last updated
05/06/2025
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