LISA STUBAN

POCATELLO, ID
NPI1700112448
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: ID  BL7614)
Enumeration Date2009-10-31
Last Update Date2009-10-31
Business Address
Ms. LISA STUBAN massage therapist
2688 HILLVIEW DR
POCATELLO, ID 83201-2503
Phone number: 208-244-5658
Mailing Address
Ms. LISA STUBAN massage therapist
2688 HILLVIEW DR
POCATELLO, ID 83201-2503
Phone number: 208-244-5658