JENNIFER ROSE BLACK

BEND, OR
NPI1568102317
Former NameJENNIFER ROSE JOHNSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  15011)
Enumeration Date2022-03-30
Last Update Date2025-12-04
Business Address
JENNIFER ROSE BLACK LMT
369 NE REVERE AVE STE 105
BEND, OR 97701-4082
Phone number: 541-323-3488
Mailing Address
JENNIFER ROSE BLACK LMT
369 NE REVERE AVE STE 105
BEND, OR 97701-4082
Phone number: 541-323-3488
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