Individual
MRS. JESSICA ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
UMT
Contact information
Practice address
314 GOFF MOUNTAIN ROAD, SUITE 13, CROSS LANES, WV 25313
(304) 776-5031
(304) 204-6332
Mailing address
314 GOFF MOUNTAIN RD., SUITE 13, CROSS LANES, WV 25313
(304) 776-5031
(304) 204-6332
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
2010-2725
WV
225700000X
Massage Therapist
Primary
593400-10
WV
Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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