Individual
JESSICA WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
32 MARKET ST, BANGOR, PA 18013-1902
(610) 452-9021
Mailing address
32 MARKET ST, BANGOR, PA 18013-1902
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG013263
PA
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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