Individual
MRS. JOLEEN MOANA WAMPLER-KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12585
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932497179
CHIROPRACTIC
OR
Enumeration date
09/07/2017
Last updated
07/21/2022
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