Individual
CHEYENNE LEE VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
825 NE 7TH ST, GRANTS PASS, OR 97526-1634
(541) 244-8208
Mailing address
2820 REDWOOD AVE, GRANTS PASS, OR 97527-6338
(541) 244-8208
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20834
OR
Other
Enumeration date
05/18/2017
Last updated
05/18/2017
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