Individual
JILLIAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 SE URANIA LN, BEND, OR 97702-1624
(541) 410-5135
Mailing address
PO BOX 7051, BEND, OR 97708-7051
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22838
OR
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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