Individual
DHWANI PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6485 W INTERCHANGE LN STE 101, BOISE, ID 83709-2102
(208) 639-0005
Mailing address
PO BOX 44828, BOISE, ID 83711-0828
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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