Individual
MISS DALYNNE FOLSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1108 J AVE, LA GRANDE, OR 97850-2073
(541) 963-0339
(541) 663-8882
Mailing address
1108 J AVE, LA GRANDE, OR 97850-2073
(541) 963-0339
(541) 663-8882
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19497
OR
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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