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Individual

MISS ARIEL ELICIA ISRAEA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
911 CLAY ST, ASHLAND, OR 97520-3669
(541) 531-2261
Mailing address
3200 SISKIYOU BLVD, ASHLAND, OR 97520-9575
(541) 531-2261

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20296
OR

Other

Enumeration date
05/24/2016
Last updated
10/31/2022
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