Individual
JOCELYN LEE ROUSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
315A CAVES HWY, CAVE JUNCTION, OR 97523-9604
(541) 415-4395
Mailing address
PO BOX 1916, CAVE JUNCTION, OR 97523-1916
(541) 415-4395
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24095
OR
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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