Individual
JESSICA RAE OCLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
406 S MAIN ST, MAQUOKETA, IA 52060-3038
(563) 451-3077
Mailing address
406 S MAIN ST, MAQUOKETA, IA 52060-3038
(563) 451-3077
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
004669
IA
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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