Individual
DAWN DENISE WILBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
480770 HIGHWAY 95, SANDPOINT, ID 83864-7438
(208) 627-9708
Mailing address
480770 HIGHWAY 95, SANDPOINT, ID 83864-7438
(208) 627-9708
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
40307
ID
225700000X
Massage Therapist
Primary
MASG-915
ID
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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