Individual
PAULA M NUGNET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE PRACTIONER
Contact information
Practice address
3516 N GOVERNMENT WAY, COEUR D ALENE, ID 83815-8303
(208) 966-4397
Mailing address
3516 N GOVERNMENT WAY, COEUR D ALENE, ID 83815-8303
(208) 966-4397
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAG-1538
ID
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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