JACOB GLENN ROSE

KENNEWICK, WA
NPI1720330293
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA 00012661)
Enumeration Date2012-10-09
Last Update Date2012-10-09
Business Address
-- JACOB GLENN ROSE LMP
633 S. YOUNG STREET
KENNEWICK, WA 99336
Phone number: 509-438-2029
Mailing Address
-- JACOB GLENN ROSE LMP
633 S. YOUNG STREET
KENNEWICK, WA 99336
Phone number: 509-438-2029