| NPI | 1689791394 |
|---|---|
| Other Name | JAMIE DAWN CORNWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 11791) |
| Additional Taxonomies | 171W00000X Contractor (Licence: OR 11791) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2013-07-23 |