Individual
JULIANNA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
871 E 4TH ST, KUNA, ID 83634-2152
(509) 301-9558
Mailing address
871 E 4TH ST, KUNA, ID 83634-2152
(509) 301-9558
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-2760
ID
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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