Individual
TRACIE SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFA
Contact information
Practice address
600 ROBBINS RD, SUITE 401, BOISE, ID 83702-4539
(208) 383-0201
(208) 489-4300
Mailing address
600 ROBBINS RD, SUITE 401, BOISE, ID 83702-4539
(208) 383-0201
(208) 489-4300
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0000000
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010155946
BLUE SHIELD
ID
Enumeration date
12/06/2006
Last updated
07/08/2007
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