Individual
MRS. TAMMY LYNN BILBAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1029 E CONNECTICUT AVE, NAMPA, ID 83686-5987
(208) 697-9681
Mailing address
1029 E CONNECTICUT AVE, NAMPA, ID 83686-5987
(208) 697-9681
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
ID
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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