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Individual

IVIEE GWYNEVERE KRYGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4660 N PENNGROVE WAY STE 110, MERIDIAN, ID 83646-8042
(208) 938-2992
Mailing address
3375 W CENTRAL RD, EMMETT, ID 83617-9619

Taxonomy

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

Other

Enumeration date
01/30/2023
Last updated
01/30/2023
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