Individual
DANIELA M LOSTUMBO-FRELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2077 NW TOWN CENTER DR, BEAVERTON, OR 97006-8938
(503) 597-7780
(503) 746-4891
Mailing address
10749 SW CANTERBURY LN STE 101, TIGARD, OR 97224-3874
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
18475
OR
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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