Individual
MEAGAN LYNN NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2720 NE BLACK OAK PL, BEND, OR 97701-7767
(971) 241-5467
Mailing address
2720 NE BLACK OAK PL, BEND, OR 97701-7767
(971) 241-5467
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25953
OR
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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