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Individual

MS. JESSICA SUZANNE SHEAFFER

Active
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Individual

MS. JESSICA SUZANNE SHEAFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.M.P

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00015771
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0159011
DEPARTMENT OF LABOR AND I
WA
01
1155BL
REGENCE BLUE CROSS
WA
01
342575342575
PREMERA BLUE CROSS
WA
01
8941786
DEPT OF L&I CRIME VICTIMS
WA
Enumeration date
05/04/2007
Last updated
07/08/2007
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