Individual
MS. MEGAN GERDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADVANCED ESTHETICIAN
Contact information
Practice address
996 NW CIRCLE BLVD SUITE 103, CORVALLIS, OR 97330
(541) 768-4370
Mailing address
996 NW CIRCLE BLVD SUITE 103, CORVALLIS, OR 97330
(541) 768-4370
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
CAE-P-10188185
OR
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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