Individual
MARY BETH EANNARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1165 PEARL ST, EUGENE, OR 97401-3521
(541) 343-4343
Mailing address
1165 PEARL ST, EUGENE, OR 97401-3521
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17514
OR
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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