Individual
MISS JESSICA RAE GYURO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CMT, SMT
Contact information
Practice address
713 HILLCREST ST, WEST BEND, WI 53095-4119
(262) 339-8130
Mailing address
713 HILLCREST ST, WEST BEND, WI 53095-4119
(262) 339-8130
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
17548-146
WI
225700000X
Massage Therapist
Primary
227.023535
IL
Other
Enumeration date
06/22/2024
Last updated
06/22/2024
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