Individual
MRS. JEANINE M PENLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3311 SMETANA RD, BRYAN, TX 77807-5275
(979) 450-3718
Mailing address
3311 SMETANA RD, BRYAN, TX 77807-5275
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT106353
TX
Other
Enumeration date
04/01/2012
Last updated
04/01/2012
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