Individual
JULIE ANNE AMADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT#14168
Contact information
Practice address
1074 BEALL LN, CENTRAL POINT, OR 97502-2717
(541) 613-0603
Mailing address
2643 CUMMINGS LN, MEDFORD, OR 97501-7517
(541) 613-0603
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14168
OR
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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