BIANKA DANIELLE ANGEL
Individual Provider (NPI-1)
Active
Massage Therapist
Provider Information
- NPI Number
1265379531- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1287 CALDWELL BLVD APT C301, NAMPA, ID, 836511072
- Phone
- (208) 985-5689
Specialties & Taxonomies
Massage Therapist
Primary License: ID #MAS-4370