Jonnie Whitcomb, LMT

NPI #1063867026 in Bend, Oregon

Provider Information

NPI Number: 1063867026
Entity Type: Individual
Name: Jonnie Whitcomb, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: LMT
Enumeration Date: Apr 27, 2016
Last Updated: Apr 27, 2016

Practice Location

Address: 1843 NE 3RD ST STE 2
City: Bend
State: Oregon
ZIP Code: 97701-3816
Phone: (541) 350-5431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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