Individual
MS. JENNIFER LA GINA HIGHFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1104 N STE B, COEUR D ALENE, ID 83814
(208) 292-4873
(208) 292-4875
Mailing address
1924 E HANLEY AVE, DALTON GARDENS, ID 83815
(208) 292-4873
(208) 292-4875
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-3260
ID
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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