Individual
MELISSA WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
312 S GRAPE ST, MEDFORD, OR 97501-3147
(541) 261-8625
Mailing address
2660 W MAIN ST APT 12, MEDFORD, OR 97501-3188
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26641
OR
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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