Individual
MR. JEB S MALCOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1000 S LINCOLN AVE, LEBANON, PA 17042-7165
(717) 270-9798
(717) 270-9798
Mailing address
1000 S LINCOLN AVE, LEBANON, PA 17042-7165
(717) 270-9798
(717) 270-9798
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG011451
PA
Other
Enumeration date
04/15/2017
Last updated
04/15/2017
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