Individual
MINA MAROVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1521 E BOISE AVE, BOISE, ID 83706-5064
(208) 409-5173
Mailing address
502 W HALE ST APT 101, BOISE, ID 83706-3712
(208) 409-5173
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-5167
ID
Other
Enumeration date
03/11/2025
Last updated
03/15/2025
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