Individual
JENNIFER ELLEN DASCOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 YMCA DR, CHARLESTON, WV 25311-1275
(304) 342-6514
Mailing address
100 YMCA DR, CHARLESTON, WV 25311-1275
(304) 342-6514
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2007-2355
WV
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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