Individual
DANIELA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
692 S IVY ST, CANBY, OR 97013-9727
(340) 626-6579
Mailing address
692 S IVY ST, CANBY, OR 97013-9727
(340) 626-6579
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26391
OR
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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