Individual
GWENDOLYN KWAN-LING LOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5460 W FRANKLIN RD STE A, BOISE, ID 83705-1080
(208) 713-6562
Mailing address
918 E DENISE ST, BOISE, ID 83706-6852
(208) 713-6562
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-4133
ID
Other
Enumeration date
08/01/2019
Last updated
11/12/2021
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