Individual
JESSICA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
3056M
Contact information
Practice address
151 MAIN ST STE 1, SALEM, NH 03079-3109
(603) 818-0796
Mailing address
151 MAIN ST STE 1, SALEM, NH 03079-3109
(603) 818-0796
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3056
NH
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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