Individual
HOLLIDAY HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6451 MCCALL ST, BONNERS FERRY, ID 83805-8525
(208) 920-0571
Mailing address
1562 BLUE SKY RD, BONNERS FERRY, ID 83805-5629
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3195
ID
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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