Individual
MARISOL AVELAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
405 S 8TH ST STE 295, BOISE, ID 83702-7100
(208) 342-7136
(208) 460-9107
Mailing address
405 S 8TH ST STE 295, BOISE, ID 83702-7100
(208) 342-7136
(208) 460-9107
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-626
ID
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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