Individual
CANDICE J MCCALEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 N MAPLE GROVE RD, BOISE, ID 83704-6925
(208) 376-4940
Mailing address
12862 N 10TH AVE, BOISE, ID 83714-5069
(208) 559-2974
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3289
ID
Other
Enumeration date
03/03/2020
Last updated
11/27/2023
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