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Individual

MRS. RACHAEL MARLENE MONROE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
619 S WASHINGTON ST, STE 101, MOSCOW, ID 83843-3090
(208) 883-4300
(208) 883-4311
Mailing address
619 S WASHINGTON ST, STE 101, MOSCOW, ID 83843-3090
(208) 883-4300
(208) 883-4311

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-263
ID

Other

Enumeration date
10/15/2013
Last updated
10/15/2013
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