Individual
MISS GERMANA NTOYEE BALTOR I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
141 SW G ST, GRANTS PASS, OR 97526-2413
(541) 472-8985
Mailing address
1951 SW BETTY LN, GRANTS PASS, OR 97526-5424
(541) 472-8985
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5556
OR
225700000X
Massage Therapist
—
—
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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