Individual
JANJIRA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
980 FOREST AVE STE 204, PORTLAND, ME 04103-3336
(207) 232-6088
Mailing address
809 CONGRESS ST APT 10, PORTLAND, ME 04102-3111
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT6416
ME
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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