NAUTILUS MASSAGE THERAPY BY ALYSE CONLEY
Managed Care Organizations at Jackson St, Medford, OR

License number
Oregon 18674
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: MS. MARY ALYSE CONELY LMT
Title: LMT
Phone: (541) 973-1137
Address
Address
810 EAST Jackson St SUITE B, Medford, OR 97504
National Provider ID: 1932580255
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NAUTILUS MASSAGE THERAPY BY ALYSE CONLEY

810 E Jackson St SUITE B, Medford, OR 97504

Registration:
Apr 24, 2015
State ID:
110263795
Business type:
ASSUMED BUSINESS NAME
Agent:
Mary Alyseconley,810 E Jackson St SUITE B, Medford, OR 97501 (Physical)

Managed Care Organizations licenses in Oregon


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