Individual
SEQUOIA SHELLY WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
2970 HIGHWAY 101, FLORENCE, OR 97439-9711
(541) 902-0800
Mailing address
2970 HIGHWAY 101, FLORENCE, OR 97439-9711
(541) 902-0800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6960
OR
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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