Individual
ANDREA JANE DESHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
159 RIVER RD, WHEELING, WV 26003-6803
(304) 547-4003
Mailing address
3372 WILSON AVE, MINGO JUNCTION, OH 43938-2405
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2000-0502
WV
Other
Enumeration date
06/04/2009
Last updated
06/04/2009
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