Individual
SHANNON JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
97 INDIA ST, PORTLAND, ME 04101-4248
(207) 632-6983
Mailing address
PO BOX 854, GRAY, ME 04039-0854
(207) 632-6983
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT3162
ME
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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