| Azalea Zen Massage Llc | |
|
1505 Water St Ne Ste 2 Salem OR 97301-6467 | |
| (971) 218-1694 | |
| Not Available |
| Full Name | Azalea Zen Massage Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1505 Water St Ne Ste 2, Salem, Oregon |
| Authorized Official Name and Position | Maxine Valerie Trujillo (LICENSED MASSAGE THERAPIST) |
| Authorized Official Contact | 9712181694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Azalea Zen Massage Llc 1505 Water St Ne Ste 2 Salem OR 97301-6467 Ph: (971) 218-1694 | Azalea Zen Massage Llc 1505 Water St Ne Ste 2 Salem OR 97301-6467 Ph: (971) 218-1694 |
| NPI Number | 1215799366 |
|---|---|
| Provider Enumeration Date | 01/24/2024 |
| Last Update Date | 01/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215799366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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