Individual
JAIME DANIELLE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
190 OAK ST APT 4, ASHLAND, OR 97520-1886
(919) 448-7503
Mailing address
945 HARMONY LN, ASHLAND, OR 97520-3419
(919) 448-7503
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21678
OR
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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