Individual
MELANYE CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
258 A ST STE 21, ASHLAND, OR 97520-1947
(801) 376-8396
Mailing address
258 A ST STE 21, ASHLAND, OR 97520-1947
(801) 376-8396
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19295
OR
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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