NPI | 1972009397 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSAMABELLE "ROSA" BACON JIMENEZ Owner/L.M.T. 541-968-9278 |
Organization Subpart ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 10316) |
Enumeration Date | 2018-04-04 |
Last Update Date | 2018-04-09 |