Individual
GABRIELLE SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 S EUCLID AVE, SANDPOINT, ID 83864-4912
(208) 502-0728
Mailing address
102 S EUCLID AVE, SANDPOINT, ID 83864-4912
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3660
ID
Other
Enumeration date
04/15/2024
Last updated
04/24/2024
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