Individual
NORMA Z SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
685 COURT ST NE, SALEM, OR 97301-3844
(503) 507-4633
Mailing address
1530 7TH ST NW, SALEM, OR 97304-3977
(503) 507-4633
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11334
OR
Other
Enumeration date
08/08/2008
Last updated
08/08/2008
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