Individual
DIANA DEE ST. CLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
31 N ADAMS ST, COQUILLE, OR 97423-1858
(541) 824-0800
Mailing address
31 N ADAMS ST, COQUILLE, OR 97423-1858
(541) 824-0800
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22962
OR
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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