Individual
JESSICA DONAGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.A.S.
Contact information
Practice address
617 BROADWAY ST STE C, ROCK SPRINGS, WY 82901-6380
(307) 382-8661
Mailing address
1850 S CAROLINA DR, GREEN RIVER, WY 82935-5702
(307) 871-8443
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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