Individual
JENNIFER ALISHA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
171 LAWRENCE ST # 12, EUGENE, OR 97401-2221
(541) 972-6095
Mailing address
171 LAWRENCE ST # 12, EUGENE, OR 97401-2221
(541) 972-6095
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26683
OR
Other
Enumeration date
10/13/2022
Last updated
04/22/2024
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