Individual
MISS JESSICA MOLLY GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
8530 W GAGE BLVD, SUITE B, KENNEWICK, WA 99336-7162
(509) 737-1400
Mailing address
40106 N KENDALL RD NW, BENTON CITY, WA 99320-9529
(509) 947-4425
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
MA00023456
WA
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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