Individual
ANGELA M JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
7106 W HOOD PLACE, KENNEWICK, WA 99336
(509) 222-1132
(509) 222-1133
Mailing address
7106 W HOOD PLACE, KENNEWICK, WA 99336
(509) 222-1132
(509) 222-1133
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60525407
WA
Other
Enumeration date
09/14/2016
Last updated
02/15/2021
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