Individual
JENNY MARIE RAETY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT-CMMP
Contact information
Practice address
5415 W. HARMON AVE., UNIT# 1191, LAS VEGAS, NV 89103-7046
(702) 460-3212
Mailing address
5415 W. HARMON AVE., UNIT# 1191, LAS VEGAS, NV 89103-7046
(702) 460-3212
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
556
NV
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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