Individual
GWYNETH LOVE FOXHOVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
335 NE 4TH ST, BEND, OR 97701-5162
(541) 668-7506
Mailing address
63530 JOHNSON RANCH RD, BEND, OR 97701-9329
(541) 749-0939
(541) 385-0318
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28500
OR
Other
Enumeration date
06/28/2020
Last updated
06/28/2020
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