Individual
MS. LAETITIA MARIE-EMMANUELLE GUILLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
626 NW 4TH ST STE B, CORVALLIS, OR 97330-6549
(541) 758-2016
Mailing address
626 NW 4TH ST STE B, CORVALLIS, OR 97330-6549
(541) 758-2016
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19138
OR
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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