NPI | 1720261050 |
---|---|
Professional Name | JESSICA QUELLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: NJ 18KT00292700) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: NJ 26BT00070500) |
Enumeration Date | 2007-12-10 |
Last Update Date | 2022-07-21 |