Individual
JESSICA BREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
516 E LODGE DR, TEMPE, AZ 85283-3740
(480) 650-1493
Mailing address
516 E LODGE DR, TEMPE, AZ 85283-3740
(480) 650-1493
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26164
AZ
Other
Enumeration date
11/14/2020
Last updated
11/14/2020
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