Individual
JESSICA ANAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
715 E 37TH ST, ERIE, PA 16504-1727
(814) 456-4200
Mailing address
1035 W 30TH ST, ERIE, PA 16508-1501
(814) 449-9928
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG006248
PA
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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