Individual
LYNNE FONTAINE WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1625 WOODS CT, HOOD RIVER, OR 97031-2919
(503) 200-9754
Mailing address
8319 HIGHWAY 14, LYLE, WA 98635-9626
(541) 340-9140
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27906
OR
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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