Individual
STACY JO DEJONG BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1812 2ND ST SW STE E, ROCHESTER, MN 55902-4127
(507) 884-2041
Mailing address
1812 2ND ST SW STE E, ROCHESTER, MN 55902-4127
(507) 884-2041
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
46854
MN
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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