Individual
JENNIFER BOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
242 18TH AVE NE, JAMESTOWN, ND 58401-3845
(701) 269-1975
Mailing address
242 18TH AVE NE, JAMESTOWN, ND 58401-3845
(701) 269-1975
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
833
ND
Other
Enumeration date
12/26/2020
Last updated
12/26/2020
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