Individual
EMILY JEANNE TRANTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
875 S VANGUARD WAY STE 200B, MERIDIAN, ID 83642-8956
(360) 524-1521
Mailing address
4727 N WATERFRONT WAY, BOISE, ID 83703-2772
(360) 524-1521
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2561975
ID
Other
Enumeration date
07/15/2022
Last updated
12/04/2024
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