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Individual

MRS. SANDRA JEAN HARNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MT

Contact information

Practice address
233 MOUNTAIN VW E, JEROME, ID 83338-6435
(208) 308-9199
Mailing address
233 MOUNTAIN VW E, JEROME, ID 83338-6435
(208) 308-9199

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-3440
ID

Other

Enumeration date
10/20/2018
Last updated
02/26/2024
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