Individual
MR. JONATHON PETER BUFFINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
25 E FAIRVIEW AVE STE 112, MERIDIAN, ID 83642-4931
(208) 949-9491
Mailing address
25 E FAIRVIEW AVE STE 112, MERIDIAN, ID 83642-4931
(208) 949-9491
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-805
ID
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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