Individual
CAMILLE R BLOXHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
151 N 4TH AVE, POCATELLO, ID 83201-6300
(208) 637-2225
Mailing address
2450 SANDY LN, AMERICAN FALLS, ID 83211-5218
(208) 339-6868
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-1788
ID
Other
Enumeration date
11/13/2021
Last updated
11/13/2021
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