Individual
MR. DEANN L HOLEXA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4485 N DRESDEN PL, BOISE, ID 83714-1379
(208) 860-2346
Mailing address
9245 W LANDMARK ST, BOISE, ID 83704-6835
(208) 860-2346
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAGS-26
ID
Other
Enumeration date
09/17/2018
Last updated
06/11/2019
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