JACKIE EARLENE PRIMOS

MERRILLVILLE, IN
NPI1861254815
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: IN  MT22308074)
Enumeration Date2024-01-25
Last Update Date2024-01-25
Business Address
JACKIE EARLENE PRIMOS LMT
7895 BROADWAY STE D
MERRILLVILLE, IN 46410-5529
Phone number: 219-440-6612
Mailing Address
JACKIE EARLENE PRIMOS LMT
1952 W 2ND AVE
GARY, IN 46404-1108
Phone number: 219-794-4626