DIANA SHAPOVALOVA

PORTLAND, OR
NPI1306321906
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  24501)
Enumeration Date2018-09-28
Last Update Date2018-09-28
Business Address
DIANA SHAPOVALOVA
17221 SE DIVISION ST
PORTLAND, OR 97236-1240
Phone number: 971-338-8542
Mailing Address
DIANA SHAPOVALOVA
17221 SE DIVISION ST
PORTLAND, OR 97236-1240
Phone number: 971-338-8542