Individual
MISS ELISA MARIA OLALDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
235 W 10TH AVE, EUGENE, OR 97401-3008
(541) 683-9069
Mailing address
2402 SUNTREK DR, EUGENE, OR 97403-3205
(541) 914-8163
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13741
OR
Other
Enumeration date
04/09/2007
Last updated
11/17/2007
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