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Individual

JESSICA BARSUMIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1625 E PRATER WAY STE 103, SPARKS, NV 89434-8963
(775) 636-1905
Mailing address
1415 SHEWMAKER CT, RENO, NV 89509-2240
(775) 363-1905

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8147
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8147
NEVADA BOARD OF MASSAGE THERAPY
Enumeration date
07/07/2020
Last updated
07/07/2020
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