Individual
MRS. MARIA BUENA MUSACCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 WINDMERE DR, MOUNTAIN HOME, ID 83647-2497
(208) 580-1120
Mailing address
1515 WINDMERE DR, MOUNTAIN HOME, ID 83647-2497
(208) 580-1120
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
996
ID
3747P1801X
Personal Care Attendant
—
ID
376K00000X
Nurse's Aide
—
ID
Other
Enumeration date
04/30/2007
Last updated
06/19/2008
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