Individual
MS. JESSICA LEE WEAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
294 WEST BOYLSTON ST, WEST BOYLSTON, MA 01583-1407
(508) 344-2886
Mailing address
294 WEST BOYLSTON ST, WEST BOYLSTON, MA 01583-1407
(508) 344-2886
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
2641
MA
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/27/2008
Last updated
10/09/2009
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