Individual
MR. ERIC A. BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
166 S COLE RD, BOISE, ID 83709-0932
(208) 484-6605
(208) 378-2845
Mailing address
10346 FOX BRUSH CT, BOISE, ID 83709-7407
(208) 345-6282
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
060062
ID
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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