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Individual

DANA L JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
14716 NE 160TH AVE, BRUSH PRAIRIE, WA 98606-4904
(360) 953-4520
Mailing address
14716 NE 160TH AVE, BRUSH PRAIRIE, WA 98606-4904
(360) 953-4520

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
21825
OR
225700000X
Massage Therapist
Primary
MA60542316
WA

Other

Enumeration date
04/25/2016
Last updated
04/25/2016
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