Diana Dee St. Clair, LMT

NPI #1770061533 in Coquille, Oregon

Provider Information

NPI Number: 1770061533
Entity Type: Individual
Name: Diana Dee St. Clair, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Aug 3, 2018
Last Updated: Aug 3, 2018

Practice Location

Address: 31 N ADAMS ST
City: Coquille
State: Oregon
ZIP Code: 97423-1858
Phone: (541) 824-0800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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