SHANTELL AMMIRATA

MEDFORD, OR
NPI1912402827
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  22513)
Additional Taxonomies225700000X Massage Therapist
Enumeration Date2018-03-24
Last Update Date2018-03-24
Business Address
SHANTELL AMMIRATA
229 N BARTLETT ST STE 208
MEDFORD, OR 97501-6030
Phone number: 541-779-4446
Mailing Address
SHANTELL AMMIRATA
1242 GREENTREE WAY
CENTRAL POINT, OR 97502-2983
Phone number:
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