Individual
ROSE MORNINGSTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED MASSAGE THE
Contact information
Practice address
2151 W. HAYDEN AVE, HAYDEN, ID 83835
(208) 762-6772
(208) 762-6773
Mailing address
2151 W. HAYDEN AVE, HAYDEN, ID 83835
(208) 762-6772
(208) 762-6773
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA000011941
WA
225700000X
Massage Therapist
Primary
MA00011941
WA
Other
Enumeration date
12/04/2006
Last updated
11/09/2012
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