Individual
ERIN JOANN CANADA-WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
630 E 14TH ST, ADA, OK 74820-6617
(405) 269-9360
Mailing address
630 E 14TH ST, ADA, OK 74820-6617
(405) 269-9360
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
107502
OK
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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