KIMO CECIL COLLINS

ROSEBURG, OR
NPI1821755174
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  28013)
Enumeration Date2021-11-22
Last Update Date2024-11-18
Business Address
KIMO CECIL COLLINS LMT
727 SE CASS AVE STE 308
ROSEBURG, OR 97470-4954
Phone number: 541-530-3016
Mailing Address
KIMO CECIL COLLINS LMT
130 HARVEST LN
ROSEBURG, OR 97471-9269
Phone number: 541-530-3016