Individual
MALIALANI BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
304 NE AGNESS AVE, GRANTS PASS, OR 97526-7902
(541) 761-7137
Mailing address
1760 HARBECK RD APT 33, GRANTS PASS, OR 97527-1804
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023340
OR
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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