KRISTA ANTRAM

BOISE, ID
NPI1851837942
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: ID  MAS-3015)
Enumeration Date2017-01-12
Last Update Date2017-01-12
Business Address
-- KRISTA ANTRAM Lmt
1409 W MAIN ST STE 100
BOISE, ID 83702-5201
Phone number: 208-871-8834
Mailing Address
-- KRISTA ANTRAM Lmt
1901 TERRACE DR
CALDWELL, ID 83605-2248
Phone number: 208-871-8834