| Janice Decordova Rudeen, | |
|
6843 Main St, Bonners Ferry, ID 83805-8552 | |
| (208) 290-7281 | |
| (866) 801-7696 |
| Full Name | Janice Decordova Rudeen |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 6843 Main St, Bonners Ferry, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265082531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MASG17 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Janice Decordova Rudeen, Po Box 1446, Bonners Ferry, ID 83805-1446 Ph: (208) 290-7281 | Janice Decordova Rudeen, 6843 Main St, Bonners Ferry, ID 83805-8552 Ph: (208) 290-7281 |
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