Jennifer M Fraser

NPI #1336586304 in Kelso, Washington

Provider Information

NPI Number
1336586304
Entity Type
Organization
Organization Name
Jennifer M Fraser
Primary Specialty
Massage Therapist
Enumeration Date
May 30, 2013
Last Updated
May 30, 2013

Practice Location

Address
109 NW 1ST AVE
City
Kelso
ZIP Code
98626-1726
Phone
(360) 423-3132

Authorized Official

Name
MRS. JENNIFER MARIE HAULK-FRASER, LMP
Title
OWNER
Phone
(360) 423-3132

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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