Individual
AMBER DAWN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 W IOWA AVE STE A, NAMPA, ID 83686-2826
(208) 442-1123
Mailing address
430 W IOWA AVE STE A, NAMPA, ID 83686-2826
(208) 442-1123
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-1305
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MASG-1305
MT
ID
Enumeration date
11/27/2018
Last updated
11/27/2018
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