| NPI | 1093030041 |
|---|---|
| Former Name | JESSICA RENEE MALABANAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MP60939879) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 16232) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2019-04-24 |