Individual
ALEXANDRA DANIELLE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1187 N LIBERTY ST APT 811, BOISE, ID 83704-1699
(208) 515-8206
Mailing address
1187 N LIBERTY ST APT 811, BOISE, ID 83704-1699
(208) 515-8206
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-4986
ID
Other
Enumeration date
12/21/2024
Last updated
12/21/2024
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