Individual
BLANCA ESTELA CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6901 W EMERALD ST STE 201, BOISE, ID 83704-8660
(208) 724-0935
Mailing address
2021 YELLOW PINE DR, MIDDLETON, ID 83644-5910
(208) 724-0935
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-5074
ID
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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