Individual
JESSICA LAVOIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEETING ST, 3RD FLOOR, UNIT 2, PROVIDENCE, RI 02903-1214
(401) 270-5077
Mailing address
15 HIGGINS ST, UNIT 310, SMITHFIELD, RI 02917-4032
(401) 640-7964
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT01347
RI
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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