Individual
SUZANNE HAWK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3913 N SCHREIBER WAY, COEUR D ALENE, ID 83815-8395
(208) 966-4425
Mailing address
3913 N SCHREIBER WAY, COEUR D ALENE, ID 83815-8395
(208) 966-4425
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3545
ID
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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