Individual
JILLIAN FOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 S DOBSON RD, CHANDLER, AZ 85248-4907
(602) 419-9724
Mailing address
10900 TANZANITE DR NW, ALBUQUERQUE, NM 87114-1853
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13129
AZ
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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