Individual
MRS. DESIREE JEROME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1319 W RIVER ST, BOISE, ID 83702-6857
(208) 365-8154
Mailing address
1319 W RIVER ST, BOISE, ID 83702-6857
(208) 365-8154
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-237
ID
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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