Individual
NYEEMA MARIA LAMARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7312 SE KNIGHT ST, PORTLAND, OR 97206-5822
(503) 901-1916
Mailing address
7312 SE KNIGHT ST, PORTLAND, OR 97206-5822
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3569
OR
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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