Individual
MARJO AARDEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
681 S MAIN ST, LEBANON, OR 97355-3338
(541) 451-1195
Mailing address
291 E ASH ST, LEBANON, OR 97355-4104
(541) 401-4538
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13835
OR
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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