Individual
JAN STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
24951 MCCUTCHEON STREET, VENETA, OR 97487
(541) 935-1556
Mailing address
88159 4TH ST, VENETA, OR 97487-9455
(541) 880-3252
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18897
OR
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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