Individual
JASMINE CEDRA DENISE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
133 JACKSON RD STE B, MEDFORD, NJ 08055-9234
(315) 247-6523
Mailing address
152 MCKENDIMEN RD, MEDFORD, NJ 08055-2017
(315) 247-6523
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01507400
NJ
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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