Jon Vincent Washington

NPI #1194121731 in Watauga, Texas

Provider Information

NPI Number: 1194121731
Entity Type: Individual
Name: Jon Vincent Washington
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Nov 10, 2014
Last Updated: Nov 10, 2014

Practice Location

Address: 6801 RUFE SNOW DR
Address 2: SUITE 404
City: Watauga
State: Texas
ZIP Code: 76148-2348
Phone: (817) 514-6055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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