Individual
VERONICA SERVATIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.M.T
Contact information
Practice address
3283 E ANEMONE CT, BOISE, ID 83716-6848
(208) 949-9964
Mailing address
3283 E ANEMONE CT, BOISE, ID 83716-6848
(208) 949-9964
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 090024
ID
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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