Individual
MRS. JENIFER LYNN MOLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
1094 DOCKINS RD, CAREYWOOD, ID 83809-9761
(208) 610-9946
Mailing address
1094 DOCKINS RD, CAREYWOOD, ID 83809-9761
(208) 610-9946
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
IDMASG-1174
ID
225700000X
Massage Therapist
MA-60254326
WA
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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