Individual
JESSICA LADAWN CORRINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1241 E FOURTH AVE, SUTHERLIN, OR 97479-9644
(623) 986-9527
Mailing address
1241 E FOURTH AVE, SUTHERLIN, OR 97479-9644
(623) 986-9527
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26054
OR
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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