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Jennifer Waggoner, LMP
NPI 1770788853 · on the registry since 2007 · sole proprietor
Practice
- Address
- 111 W 39th St
Vancouver, WA 98660 - Phone
- (360) 635-8284
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington