Individual
MRS. HOLLY LAURIE DRACUP-SILVONEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
530 NW 3RD ST STE B, NEWPORT, OR 97365-3646
(541) 272-2696
Mailing address
530 NW 3RD ST STE B, NEWPORT, OR 97365-3646
(541) 272-2696
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7106
OR
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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