LILY BALANOFF
Individual Provider (NPI-1)
Active
Massage Therapist
Provider Information
- NPI Number
1033035878- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 408 E 43RD ST STE 1223, GARDEN CITY, ID, 837144925
- Phone
- (208) 562-7325
Specialties & Taxonomies
Massage Therapist
Primary License: ID #2671941
All Addresses
MAILING
521 E 41ST ST APT 302
GARDEN CITY, ID, 837146625