Individual
VANESSA SUE WARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6848 N GOVERNMENT WAY STE 111, DALTON GARDENS, ID 83815-7778
(208) 252-6362
Mailing address
14435 N TREEHOUSE CT, RATHDRUM, ID 83858-8576
(208) 696-1330
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-2019
ID
Other
Enumeration date
02/22/2020
Last updated
07/18/2022
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