Individual
JENNIFER MARIE JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4501 W ALAMOSA ST, BOISE, ID 83703-4325
(208) 703-8302
Mailing address
4501 W ALAMOSA ST, BOISE, ID 83703-4325
(208) 703-8302
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-4945
ID
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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