Individual
JO ELLEN SINGLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 PROFESSIONAL PL STE 101, BRIDGEPORT, WV 26330-1889
(304) 842-6463
Mailing address
65 PROFESSIONAL PL STE 101, BRIDGEPORT, WV 26330-1889
(304) 842-6463
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
E347972
WV
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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