Individual
JESSICA LYNNE PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
600 TURNER ST, SUITE 3, AUBURN, ME 04210-5299
(207) 376-3233
Mailing address
600 TURNER ST, SUITE 3, AUBURN, ME 04210-5299
(207) 376-3233
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT4589
ME
Other
Enumeration date
09/25/2011
Last updated
09/25/2011
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