Individual
KACIE HINOJOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6395 KEIZER STATION BLVD NE, KEIZER, OR 97303-2305
(503) 589-1597
Mailing address
587 ROSE PARK LN NE, KEIZER, OR 97303-4449
(702) 626-4860
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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