Individual
MS. ERICA ANNE SWANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1420 S BLAINE ST STE 21, MOSCOW, ID 83843-3973
(360) 961-3751
Mailing address
1420 S BLAINE ST STE 21, MOSCOW, ID 83843-3973
(360) 961-3751
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
RF60485502
WA
225700000X
Massage Therapist
MA00017620
WA
225700000X
Massage Therapist
Primary
MAS2488
ID
Other
Enumeration date
05/15/2007
Last updated
03/08/2023
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