Individual
ELIZABETH SAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
313 D ST STE 200, LEWISTON, ID 83501-1894
(208) 610-3591
Mailing address
1002 3RD ST, LEWISTON, ID 83501-2714
(208) 610-3591
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2961070
ID
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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