JORDEN DANIEL WIENCKOSKI

KENNEWICK, WA
NPI1467756759
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA 60137771)
Enumeration Date2010-12-31
Last Update Date2021-07-30
Business Address
Mr. JORDEN DANIEL WIENCKOSKI LMP
7514 W YELLOWSTONE AVE
KENNEWICK, WA 99336-1101
Phone number: 509-783-7242
Mailing Address
Mr. JORDEN DANIEL WIENCKOSKI LMP
900 S DATE ST
KENNEWICK, WA 99336-5755
Phone number: 509-222-0925