Individual
JESSICA NICOLE VAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
580 BLACKSTONE ALY, JACKSONVILLE, OR 97530-9007
(541) 930-2445
Mailing address
5500 N RIVER RD, GOLD HILL, OR 97525-5705
(541) 301-8627
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27823
OR
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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