Individual
VICKI M YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
676 LARCH LN, OLDTOWN, ID 83822-9277
(208) 946-7943
Mailing address
PO BOX 996, PRIEST RIVER, ID 83856-0996
(208) 946-7943
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
WA
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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