Individual
JESSICA BALLESTEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.T., M.M.P
Contact information
Practice address
4297 E ZALESKY RD, 2665 VILLAGE DR, COTTONWOOD, AZ 86326-5639
(928) 300-9090
Mailing address
PO BOX 363, 624 N 8TH STREET, COTTONWOOD, AZ 86326-0363
(928) 300-9090
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-06075
AZ
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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