Individual
GWENDOLYN KENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 WILLAMETTE ST STE 2, EUGENE, OR 97401-4013
(541) 513-5264
Mailing address
490 HORN LN, EUGENE, OR 97404-2918
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25279
OR
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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