Individual
JOCELYNN MARIE HAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2077 NE HIGHWAY 99W, MCMINNVILLE, OR 97128-2751
(503) 883-9253
Mailing address
2077 NE HIGHWAY 99W, MCMINNVILLE, OR 97128-2751
(503) 883-9253
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12544
OR
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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