Dwight Dansereau
Dwight Dansereau is a Massage Therapist in Coeur D Alene, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2014
Practice location Address checks out
1319 N Government WayCoeur D Alene, ID 83814-3252
Phone: (208) 667-3813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence MASG-664 (ID) |
|---|
Record details
| NPI number | 1326441445 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 2, 2014 |
| Last updated in NPPES | October 2, 2014 |
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