AMANDA K BLANKENSHIP

MOSCOW, ID
NPI1013120435
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA00017159)
Enumeration Date2007-05-08
Last Update Date2007-07-08
Business Address
MISS AMANDA K BLANKENSHIP LMP, NCTMB
700 S MAIN ST GRITMAN MEDICAL CENTER
MOSCOW, ID 83843-3056
Phone number: 208-883-6544
Mailing Address
MISS AMANDA K BLANKENSHIP LMP, NCTMB
1568 NORTHWOOD DR APT 2
MOSCOW, ID 83843-8317
Phone number: 509-330-0771
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