Individual
JESSICA SHANE CZECHOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCTMB
Contact information
Practice address
1901 N HEMMER RD, #213, PALMER, AK 99645-9690
(907) 982-5572
Mailing address
11757 E LORETTA CIR, PALMER, AK 99645-9363
(907) 982-5572
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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