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Individual

MRS. RACHEL JAN WEEKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
32 CARLSON AVE, REXBURG, ID 83440-1914
(208) 557-3516
Mailing address
483 COUNTRYSIDE AVE, REXBURG, ID 83440-5106
(208) 360-2713

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-2282
ID

Other

Enumeration date
03/11/2015
Last updated
03/11/2015
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