Stacey Audrene Dillard, L.M.T.

NPI #1518212273 in The Dalles, Oregon

Provider Information

NPI Number
1518212273
Entity Type
Individual
Name
Stacey Audrene Dillard, L.M.T.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Reflexologist
Credential
L.M.T.
Enumeration Date
Jul 18, 2012
Last Updated
Jul 18, 2012

Practice Location

Address
1700 E 19TH ST
State
Oregon
ZIP Code
97058-3317
Phone
(541) 506-5788

Specialties & Taxonomy Codes

Specialty
Reflexologist

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