Individual
ALEKSANDRA BARANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13999 W WAINWRIGHT DR STE 201, BOISE, ID 83713-1967
(208) 939-0775
(208) 301-5004
Mailing address
13999 W WAINWRIGHT DR STE 201, BOISE, ID 83713-1967
(208) 939-0775
(208) 301-5004
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-2255
ID
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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