Individual
BRANDILYN DURRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
708 E WYTHE CREEK CT # 102A, KUNA, ID 83634-2473
(208) 810-9601
Mailing address
1787 N MADDERLAKE AVE APT 1, KUNA, ID 83634-1590
(208) 810-9601
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-4364
ID
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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