JENNIFER LYNNE WAGGONER

VANCOUVER, WA
NPI1770788853
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA00023736)
Enumeration Date2007-06-18
Last Update Date2007-07-08
Business Address
JENNIFER LYNNE WAGGONER LMP
111 W 39TH ST
VANCOUVER, WA 98660-1974
Phone number: 360-635-8284
Mailing Address
JENNIFER LYNNE WAGGONER LMP
30919 NE SPRING HILL RD
YACOLT, WA 98675-3004
Phone number: 360-635-8284
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