Most Relevant Information
Provider Data
| NPI Number: | 1003322173 |
| Provider Name: | STEPHANIE MOLINA |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/27/2017 |
| Last Updated: | 12/27/2017 |
Provider Practice Location
55 NW WALL ST STE 100
BEND
OR
977033200
Practice Location Phone/Fax
| Phone: | 5413894321 |
| Fax: | 5413894420 |
Provider Mailing Location
55 NW WALL ST STE 100
BEND
OR
977033200
Provider Mailing Phone/Fax
| Phone: | 5413894321 |
| Fax: | 5413894420 |