Individual
NICOLE GUERRA WILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
424 NE FRANKLIN AVE, BEND, OR 97701-4919
(541) 388-3588
Mailing address
1238 SW SILVER LAKE BLVD, BEND, OR 97702-2236
(458) 600-3249
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27761
OR
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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