Individual
AHNARAE MARIE FRIZELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3990 CHERRY AVE NE STE 103, KEIZER, OR 97303-4888
(971) 332-5916
Mailing address
365 MADRONA AVE SE APT B6, SALEM, OR 97302-6609
(503) 851-5074
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28375
OR
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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