Individual
JESSICA BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3680 WINFIELD RD, SUITE 2, WINFIELD, WV 25213-9680
(304) 932-9922
Mailing address
RR 1 BOX 144, RED HOUSE, WV 25168-9726
(304) 932-9922
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2014-3255
WV
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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