Individual
KARMEN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1529 W CRESCENT CT, MERIDIAN, ID 83646-1149
(208) 869-7579
Mailing address
1465 W DEER CREST ST, B102, MERIDIAN, ID 83646
(208) 869-7579
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-1968
ID
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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