Individual
MERSADEE JEANNE LULAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
612 N 1ST ST, SILVERTON, OR 97381-1404
(503) 873-4381
Mailing address
201 W CENTER ST, SILVERTON, OR 97381-1905
(503) 508-1654
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20922
OR
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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