Chennai Marie Hererra, LMT | |
3601 N Cole Rd, Boise, ID 83704-4410 | |
(208) 321-7348 | |
Not Available |
Full Name | Chennai Marie Hererra |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 3601 N Cole Rd, Boise, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699163832 | NPI | - | NPPES |
MASG-773 | Other | ID | MASSAGE THERAPY LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | MASG-773 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Chennai Marie Hererra, LMT 3601 N Cole Rd, Boise, ID 83704-4410 Ph: (208) 321-7348 | Chennai Marie Hererra, LMT 3601 N Cole Rd, Boise, ID 83704-4410 Ph: (208) 321-7348 |
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