Individual
CHARITY ANNE LAFOLLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
123 LEA AVE, EUGENE, OR 97404-5019
(253) 312-1775
Mailing address
123 LEA AVE, EUGENE, OR 97404-5019
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24695
OR
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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