Individual
ANGELINA H. JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1012 N 7TH AVE SW, TUMWATER, WA 98512-6316
(253) 778-6765
Mailing address
1012 N 7TH AVE SW, TUMWATER, WA 98512-6316
(360) 349-1878
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60973672
WA
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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