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Individual

AMIE BARTHOLOMEUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
100 EAST IDAHO STREET, ST LUKE'S MOUNTAIN STATES TUMOR INSTITUTE, BOISE, ID 83712
(208) 706-5287
Mailing address
100 EAST IDAHO STREET, ST LUKE'S MOUNTAIN STATES TUMOR INSTITUTE, BOISE, ID 83712

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG95
ID

Other

Enumeration date
10/21/2014
Last updated
10/21/2014
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