Individual
ABIGAIL WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
316 ADELINE DR, GRANTS PASS, OR 97527-8901
(573) 356-1401
Mailing address
316 ADELINE DR, GRANTS PASS, OR 97527-8901
(573) 356-1401
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28463
OR
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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