Individual
JENNIFER VANDERSTOUW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1615 E WARNER RD STE 3, TEMPE, AZ 85284-4500
(480) 283-5243
Mailing address
3201 N 38TH ST UNIT 27, PHOENIX, AZ 85018-6358
(480) 283-5243
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-12206
AZ
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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