Individual
MALLORY JOYCE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
18565 W BASELINE RD STE A, ALOHA, OR 97006-2942
(503) 352-4378
Mailing address
6405 SW PROSPECT CT, ALOHA, OR 97078-4318
(480) 227-2486
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24867
OR
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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