MANORA FAWN

COOS BAY, OR
NPI1467690925
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172M00000X Mechanotherapist
(Licence: OR  4636)
Enumeration Date2009-01-21
Last Update Date2009-01-21
Business Address
MANORA FAWN L.M.T.
632 ANDERSON AVE
COOS BAY, OR 97420-1632
Phone number: 541-267-4439
Mailing Address
MANORA FAWN L.M.T.
632 ANDERSON AVE
COOS BAY, OR 97420-1632
Phone number: 541-267-4439