Madelena Larue

NPI #1407554843 in Nampa, Idaho

Provider Information

NPI Number: 1407554843
Entity Type: Individual
Name: Madelena Larue
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Feb 15, 2023
Last Updated: Feb 15, 2023

Practice Location

Address: 232 2ND ST S
City: Nampa
State: Idaho
ZIP Code: 83651-3709
Phone: (208) 461-6523

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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