Individual
MARY LONDOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 SISKIYOU BLVD STE C, ASHLAND, OR 97520-2426
(512) 417-5083
Mailing address
1640 SISKIYOU BLVD STE C, ASHLAND, OR 97520-2426
(512) 417-5083
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18367
OR
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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