Individual
SAMANTHA BRUMBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 N 2ND ST, BOISE, ID 83702-6077
(208) 385-3440
Mailing address
1913 N 33RD ST, BOISE, ID 83703-5815
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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