Individual
JENNET L GREBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9567 BRADDOCK RD, FAIRFAX, VA 22032-2539
(703) 425-0048
Mailing address
9021 ARMENDOWN DR, SPRINGFIELD, VA 22152-2138
(586) 709-4908
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019010965
VA
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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