Individual
LEDA EVE GLASTONBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 W B ST STE J, SPRINGFIELD, OR 97477-4594
(541) 647-4916
Mailing address
175 W B ST STE J, SPRINGFIELD, OR 97477-4594
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27491
—
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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