Individual
ANDREY PRAVDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2924 SECKEL ST, MEDFORD, OR 97504-8150
(917) 657-8233
Mailing address
2924 SECKEL ST, MEDFORD, OR 97504-8150
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24415
OR
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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