Individual
CONSTANCE NEMEC-LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
233 S 2ND ST, COOS BAY, OR 97420-1642
(541) 404-0772
Mailing address
855 12TH ST SW, BANDON, OR 97411-9503
(541) 404-0772
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23680
OR
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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