Individual
JESSICA YVONNE CODDINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 E NEPESSING ST, LAPEER, MI 48446-2316
(810) 356-4646
Mailing address
11210 DODGE RD, OTISVILLE, MI 48463-9739
(810) 834-5340
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501015908
MI
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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