Individual
MISS DINA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
171 LAWRENCE ST, EUGENE, OR 97401-2221
(541) 357-7824
Mailing address
171 LAWRENCE ST, EUGENE, OR 97401-2221
(541) 357-7824
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19656
OR
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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