Individual
JENNA MARRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13780 NW BERRY CREEK RD, MCMINNVILLE, OR 97128-7934
(971) 237-6482
Mailing address
PO BOX 871, WILLAMINA, OR 97396-0871
(971) 237-6482
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21524
OR
Other
Enumeration date
04/13/2016
Last updated
04/14/2016
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