JONATHAN DERVETSKI

EAU CLAIRE, WI
NPI1821409418
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WI  12319-146)
Enumeration Date2014-05-16
Last Update Date2014-05-16
Business Address
JONATHAN DERVETSKI
1030 OAK RIDGE DR
EAU CLAIRE, WI 54701-4564
Phone number: 715-456-6755
Mailing Address
JONATHAN DERVETSKI
1922 WOODLAND AVE
EAU CLAIRE, WI 54701-4165
Phone number: 715-828-1008
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