LORETTA J TYE

LEWISTON, ID
NPI1518109594
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  150222-00)
Enumeration Date2009-04-06
Last Update Date2009-04-06
Business Address
-- LORETTA J TYE NCTMB
1114 MAIN ST
LEWISTON, ID 83501-1902
Phone number: 208-743-1974
Mailing Address
-- LORETTA J TYE NCTMB
1114 MAIN ST
LEWISTON, ID 83501-1902
Phone number: 208-743-1974
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