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Organization

VETIVER THERAPIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS JILL L JURKOWSKI LMP (LICENSED MASSAGE THERAPIST)
(802) 989-3389
Entity
Organization

Contact information

Practice address
5424 BALLARD AVENUE NW, SUITE 103, SEATTLE, WA 98107
(802) 989-3389
Mailing address
5424 BALLARD AVENUE NW, SUITE 103, SEATTLE, WA 98107
(802) 989-3389

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60179301
WA

Other

Enumeration date
05/10/2012
Last updated
05/10/2012
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