Individual
MRS. JESSICA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1121 76 RD, BERKSHIRE, NY 13736-2007
(607) 351-0934
Mailing address
1121 76 RD, BERKSHIRE, NY 13736-2007
(607) 351-0934
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
029889-1
NY
Other
Enumeration date
09/12/2017
Last updated
07/21/2022
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