Individual
RAYNEE H MCLEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
419 BECKER LN, DOVER, ID 83825-0018
(208) 946-1330
Mailing address
PO BOX 509, DOVER, ID 83825-0509
(208) 946-1330
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-3925
ID
Other
Enumeration date
05/29/2007
Last updated
09/20/2024
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