Search › Idaho › 172V00000X
Jackie Kamanzi
NPI 1225992340 · on the registry since 2025
Practice
- Address
- 11443 W Annata St
Nampa, ID 83651 - Phone
- (208) 515-1187
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Also registered as
- 171M00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-12-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho