Individual
JESSICA ROSE HOBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 SW JEFFERSON ST APT 15, PORTLAND, OR 97201-6064
(407) 301-8132
Mailing address
1515 SW JEFFERSON ST APT 15, PORTLAND, OR 97201-6064
(407) 301-8132
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-25869
OR
225700000X
Massage Therapist
MA93054
FL
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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