Individual
MERLE STOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.T.
Contact information
Practice address
9 11TH AVE S, NAMPA, ID 83651-3908
(208) 453-6122
Mailing address
1018 W EDWARDS AVE, NAMPA, ID 83686-8167
(801) 891-2698
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-1812
ID
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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