MRS. Lois Elizabeth Yevdalcia Dimick, LMT

NPI #1629102454 in Forest Grove, Oregon

Provider Information

NPI Number: 1629102454
Entity Type: Individual
Name: MRS. Lois Elizabeth Yevdalcia Dimick, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Mar 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2004 MAIN ST
Address 2: SUITE 204
City: Forest Grove
State: Oregon
ZIP Code: 97116
Phone: (503) 380-7753

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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