Individual
JENNETTE ROYSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCTMB,CMT
Contact information
Practice address
145 BURFORD AVE, STE 100, VIRGINIA BEACH, VA 23451-5864
(757) 392-0414
(757) 392-0417
Mailing address
145 BURFORD AVE, STE 100, VIRGINIA BEACH, VA 23451-5864
(757) 392-0414
(757) 392-0417
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019004402
VA
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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