Individual
JUSTIN M HODAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1704 NE 6TH ST, BEND, OR 97701-4002
(541) 317-9693
Mailing address
1704 NE 6TH ST, BEND, OR 97701-4002
(541) 317-9693
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20505
OR
Other
Enumeration date
12/09/2018
Last updated
12/09/2018
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