Individual
MS. CAROL DELIMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12601 SE RIVER RD APT 318, MILWAUKIE, OR 97222-9707
(650) 838-9659
Mailing address
12601 SE RIVER RD APT 318, MILWAUKIE, OR 97222-9707
(650) 838-9659
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20223
OR
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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