Jennifer Fagan, MA 60367097

NPI #1871924407 in Snohomish, Washington

Provider Information

NPI Number: 1871924407
Entity Type: Individual
Name: Jennifer Fagan, MA 60367097
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: MA 60367097
Enumeration Date: Dec 8, 2013
Last Updated: Dec 8, 2013

Practice Location

Address: 1800 BICKFORD AVE
Address 2: STE 201
City: Snohomish
State: Washington
ZIP Code: 98290-1771
Phone: (425) 319-1123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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