Individual
JESSICA C. TARANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
1917 N LAKEWOOD DR, COEUR D ALENE, ID 83814-2634
(208) 664-8194
Mailing address
1917 N LAKEWOOD DR, COEUR D ALENE, ID 83814-2634
(208) 664-8194
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA000022695
—
Other
Enumeration date
10/01/2008
Last updated
01/06/2011
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