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Individual

BRANDON TREAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BCTMB

Contact information

Practice address
760 E WARM SPRINGS AVE STE A, BOISE, ID 83712-6459
(208) 870-9753
Mailing address
2144 S DOROTHY AVE, BOISE, ID 83706-4410
(208) 870-9753

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-1124
ID

Other

Enumeration date
02/09/2021
Last updated
02/09/2021
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