CORWIN ALLEN WEST

POCATELLO, ID
NPI1336779214
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: ID  MASG-1098)
Enumeration Date2020-01-20
Last Update Date2020-01-20
Business Address
CORWIN ALLEN WEST LMT
920 DEON DR STE A
POCATELLO, ID 83201-3069
Phone number: 208-604-3159
Mailing Address
CORWIN ALLEN WEST LMT
677 S 1700 W
PINGREE, ID 83262-1243
Phone number: 208-604-3159
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