Individual
JULIETTE OLIVIA DEACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 E HANCOCK ST, NEWBERG, OR 97132-2822
(503) 554-0661
Mailing address
4481 MEDINA LN SE, SALEM, OR 97317-9171
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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