Individual
ANN JANELLE HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
289 E ELLENDALE AVE, SUITE 601, DALLAS, OR 97338-1580
(971) 599-3558
Mailing address
15545 FERNS CORNER RD, DALLAS, OR 97338-9478
(971) 599-3558
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19314
OR
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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