Individual
JESSICA RIESGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMT
Contact information
Practice address
3208 E FORT LOWELL RD STE 102, TUCSON, AZ 85716-1625
(520) 240-2034
Mailing address
3208 E FORT LOWELL RD STE 102, TUCSON, AZ 85716-1625
(520) 240-2034
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
225700000X
Massage Therapist
Primary
MT-08984
AZ
Other
Enumeration date
07/14/2019
Last updated
07/14/2019
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