Individual
SARA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2016 S EAGLE RD, MERIDIAN, ID 83642-6707
(208) 887-6810
(208) 887-6797
Mailing address
2016 S EAGLE RD, MERIDIAN, ID 83642-6707
(208) 887-6810
(208) 887-6797
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-1518
ID
Other
Enumeration date
11/11/2014
Last updated
11/18/2014
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