CONSTANCE JO ERVIN

DALLAS, OR
NPI1780006361
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  17273)
Enumeration Date2014-01-15
Last Update Date2014-01-15
Business Address
Mrs. CONSTANCE JO ERVIN LMT
289 E ELLENDALE AVE SUITE 102
DALLAS, OR 97338-1580
Phone number: 503-623-5505
Mailing Address
Mrs. CONSTANCE JO ERVIN LMT
289 E ELLENDALE AVE SUITE 102
DALLAS, OR 97338-1580
Phone number: 503-623-5505