Individual
MISS JESSICA LYNN LILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
4303 W. 27TH AVENUE, SUITE E, KENNEWICK, WA 99338
(509) 783-0834
(509) 987-1090
Mailing address
4303 W. 27TH AVENUE, SUITE E, KENNEWICK, WA 99338
(509) 783-0834
(509) 987-1090
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA60213735
WA
Other
Enumeration date
01/26/2012
Last updated
04/22/2015
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