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Individual

JENNIFER NICOHLE DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T.

Contact information

Practice address
11950 SE 147TH AVE STE 105, HAPPY VALLEY, OR 97086-3820
(360) 739-9205
Mailing address
11950 SE 147TH AVE, HAPPY VALLEY, OR 97086-3820
(360) 739-9205
(503) 557-9220

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16422
OR

Other

Enumeration date
12/07/2009
Last updated
01/11/2022
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