MS. Jacqueline Odessa Wells, MASSAGE THERAPIST

NPI #1336575067 in Eatonton, Georgia

Provider Information

NPI Number
1336575067
Entity Type
Individual
Name
MS. Jacqueline Odessa Wells, MASSAGE THERAPIST
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
MASSAGE THERAPIST
Enumeration Date
Sep 26, 2013
Last Updated
Sep 26, 2013

Practice Location

Address
109 LOWER HARMONY RD LOT 4
Address 2
LOT # 4
State
Georgia
ZIP Code
31024-6062
Phone
(706) 816-3499

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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