Individual
MS. CARLA JENIFER FUERST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
977 ROYAL AVE, MEDFORD, OR 97504-6140
(541) 779-8331
(541) 779-0217
Mailing address
977 ROYAL AVE, MEDFORD, OR 97504-6140
(541) 779-8331
(541) 779-0217
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14158
OR
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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