Individual
JAMIE ANN MIMNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
29 S MAIN ST, RED LION, PA 17356-2141
(717) 676-2006
Mailing address
29 S MAIN ST, RED LION, PA 17356-2141
(717) 676-2006
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG001902
PA
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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