Individual
ANTHONY RIVER MONIZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
124 NW D ST, GRANTS PASS, OR 97526-2008
(541) 636-8488
Mailing address
2247 N STAR DR, GRANTS PASS, OR 97527-4228
(541) 636-8488
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20501
OR
Other
Enumeration date
10/28/2018
Last updated
10/28/2018
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