JENNIFER L COSTILLA

FREMONT, OH
NPI1114047495
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OH  12817)
Enumeration Date2007-03-30
Last Update Date2007-07-08
Business Address
-- JENNIFER L COSTILLA LMT
1823 W STATE ST
FREMONT, OH 43420-1635
Phone number: 419-334-7737
Mailing Address
-- JENNIFER L COSTILLA LMT
1823 W STATE ST
FREMONT, OH 43420-1635
Phone number: 419-334-7737
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