MIRANDA MCBROOM

BOISE, ID
NPI1952789026
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: ID  MAS-2393)
Enumeration Date2015-05-11
Last Update Date2015-05-11
Business Address
Miss MIRANDA MCBROOM
1150 W STATE ST 220
BOISE, ID 83702-5327
Phone number: 541-519-7478
Mailing Address
Miss MIRANDA MCBROOM
1809 W MALAD LN
BOISE, ID 83705-4479
Phone number: 541-519-7478