Individual
JILLSAN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4030 ALLENTOWN RD, LIMA, OH 45807-2146
(419) 231-3665
Mailing address
4030 ALLENTOWN RD, LIMA, OH 45807-2146
(419) 231-3665
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.024991
OH
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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