Raquel Pura Filipov, LICENSED MASSAGE THE

NPI #1972101855 in Hayden, Idaho

Provider Information

NPI Number: 1972101855
Entity Type: Individual
Name: Raquel Pura Filipov, LICENSED MASSAGE THE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LICENSED MASSAGE THE
Enumeration Date: Oct 13, 2020
Last Updated: Oct 13, 2020

Practice Location

Address: 2151 W HAYDEN AVE
City: Hayden
State: Idaho
ZIP Code: 83835-7414
Phone: (208) 762-6772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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