Individual
MRS. JESSICA LEA AGUILAR FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
104B S PACIFIC HWY # 99, COTTAGE GROVE, OR 97424-2132
(541) 767-1616
Mailing address
1592 E CHAMBERLAIN AVE, COTTAGE GROVE, OR 97424-1221
(541) 852-1967
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20624
OR
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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