Individual
ESMINA I EVSTROPOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2205 ADAMS AVE, LA GRANDE, OR 97850-3409
(541) 653-6387
Mailing address
2205 ADAMS AVE, LA GRANDE, OR 97850-3409
(541) 653-6387
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
20522
OR
225700000X
Massage Therapist
Primary
20522
OR
Other
Enumeration date
06/28/2016
Last updated
10/20/2016
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