Jade Stevens

NPI #1417504507 in Sandpoint, Idaho

Provider Information

NPI Number
1417504507
Entity Type
Individual
Name
Jade Stevens
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Enumeration Date
Aug 22, 2019
Last Updated
Aug 22, 2019

Practice Location

Address
515 PINE ST STE G
State
Idaho
ZIP Code
83864-1658
Phone
(208) 575-8309

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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