Individual
MARGARET GRANBY MOSCHETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
785 SE MCTAGGART RD, MADRAS, OR 97741-9607
(541) 693-4061
Mailing address
1238 NE MEADOWLARK LN, MADRAS, OR 97741-9087
(541) 693-4061
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17245
OR
Other
Enumeration date
07/15/2018
Last updated
07/15/2018
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