Individual
CHRISTINE TUMANJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
100 E IDAHO ST, BOISE, ID 83712-6267
(208) 381-6116
(208) 381-4675
Mailing address
100 E IDAHO ST, BOISE, ID 83712-6267
(208) 381-6116
(208) 381-4675
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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