Individual
ALLEN COAHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
230 W 3RD ST, MOSCOW, ID 83843-2203
(208) 596-2671
Mailing address
230 W 3RD ST, MOSCOW, ID 83843-2203
(208) 596-2671
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS266
ID
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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