Most Relevant Information
Provider Data
| NPI Number: | 1003214990 |
| Provider Name: | BONNIE LEE |
| Entity Type: | Individual |
| Taxonomy Code: | 173C00000X |
| Specialty: | Reflexologist |
| License Number: | 18719 |
Most Important Dates
| Enumeration Date: | 12/09/2014 |
| Last Updated: | 12/09/2014 |
Provider Practice Location
1249 PACIFIC BLVD SE
ALBANY
OR
973214824
Practice Location Phone/Fax
| Phone: | 5417040633 |
| Fax: |
Provider Mailing Location
431 STORMY ST NE
ALBANY
OR
973224556
Provider Mailing Phone/Fax
| Phone: | 5416197879 |
| Fax: |