Individual
JESSICA NICOLE CAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 COOK ST STE 321, DENVER, CO 80206-5317
(303) 355-1234
Mailing address
4363 S QUEBEC ST APT 2112, DENVER, CO 80237-2675
(720) 475-6342
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0007639
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82-1722007
IRS
—
Enumeration date
09/25/2017
Last updated
09/25/2017
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