Individual
ADELINE JADE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
314 E MAIN ST, TALENT, OR 97540
(541) 210-5999
Mailing address
848 FOX ST, ASHLAND, OR 97520-9311
(757) 469-7658
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27092
OR
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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