Organization
MASSAGE BY JENNI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SOSKY (LMP)
(360) 904-0419
Entity
Organization
Contact information
Practice address
9013 NE HIGHWAY 99, VANCOUVER, WA 98665-8942
(360) 904-0419
Mailing address
13015 NE 406TH ST, AMBOY, WA 98601-3513
(360) 904-0419
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
MA 60334878
WA
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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