Individual
KANDICE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4080 ROYAL AVE, EUGENE, OR 97402-1809
(541) 870-2155
Mailing address
4080 ROYAL AVE, EUGENE, OR 97402-1809
(541) 870-2155
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19962
OR
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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