Individual
JASMINE TENIS' LOCUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
235 COMMERCE ST, # 3, GREENVILLE, NC 27858-9939
(252) 917-2633
Mailing address
235 COMMERCE ST, # 3, GREENVILLE, NC 27858-9939
(252) 917-2633
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14349
NC
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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