Individual
MRS. ANGELINA RENAE MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
345 NE GREENWOOD AVE, BEND, OR 97701-4605
(541) 306-8522
Mailing address
345 NE GREENWOOD AVE, BEND, OR 97701-4605
(541) 306-8522
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20076
OR
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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