Individual
JESSECA A MAGLOTHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8113 W PRESTON LN, PHOENIX, AZ 85043-5430
(623) 428-9811
Mailing address
8113 W PRESTON LN, PHOENIX, AZ 85043-5430
(623) 428-9811
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-04475P
AZ
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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