Individual
MISS CLARISSA RUELENE SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
25275 LOTEN WAY, VENETA, OR 97487
(541) 554-4231
Mailing address
P.O. BOX 41796, EUGENE, OR 97404
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27074
OR
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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