Individual
MRS. MELISSA ANNE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
405 9TH STREET, WHEATLAND, WY 82201-2909
(307) 331-7734
Mailing address
405 9TH STREET, WHEATLAND, WY 82201-2909
(307) 331-7734
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60320223
WA
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/08/2013
Last updated
06/10/2022
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