Individual
JENNA LYNN STAYMATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1375 PEARL ST, EUGENE, OR 97401-3523
(541) 693-3377
Mailing address
795 E 13TH ALY APT 1, EUGENE, OR 97401-3762
(541) 780-4295
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26096
OR
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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