Individual
JESSICA LYNNE CULLINAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 MOUNT AVE, MISSOULA, MT 59801-5601
(406) 543-5251
Mailing address
1510 JACKSON ST, MISSOULA, MT 59802-3831
(406) 529-7397
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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