Individual
JEANNIE E EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1624 E 23RD, EUGENE, OR 97403
(541) 344-4374
Mailing address
1624 E 23RD, EUGENE, OR 97403
(541) 344-4374
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3483
OR
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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