Individual
CHANDRA ALEXANDRIA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
335 NE 4TH ST, BEND, OR 97701-5162
(541) 668-7506
Mailing address
PO BOX 2266, SISTERS, OR 97759-2266
(541) 390-8136
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24543
OR
Other
Enumeration date
11/30/2019
Last updated
11/30/2019
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