JASON ISHMAEL EZZY

PORTLAND, ME
NPI1083376396
Former NameJASON LESALDO
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: ME  MT4860)
Enumeration Date2021-10-13
Last Update Date2021-10-13
Business Address
JASON ISHMAEL EZZY LMT, AHS
1717 CONGRESS ST STE 3
PORTLAND, ME 04102-1983
Phone number: 207-449-2847
Mailing Address
JASON ISHMAEL EZZY LMT, AHS
365 MAIN ST APT 102
BIDDEFORD, ME 04005-6304
Phone number: 207-449-2847
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