NPI 1053703678

Massage By Jenni

Organisation Point of Service Vancouver, WA

Practice location

Address: 9013 NE Highway 99, Vancouver, WA 98665-8942
Phone: (360) 904-0419
Mailing address: 13015 NE 406th St, Amboy, WA 98601-3513

Authorised official

Name: Jennifer Sosky
Title: Lmp
Phone: (360) 904-0419

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence MA 60334878 (WA)

Other Point of Service providers in Washington →

Registry record

NPI: 1053703678
Entity type: Organization
NPI issued: 19 Feb 2015
Record last updated: 19 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.