Individual
MR. JEDADIAH MARQUEE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
204 PACKETS CT, PO BOX 223, WILLIAMSBURG, VA 23185-5629
(757) 808-6887
(757) 808-6887
Mailing address
204 PACKETS CT, PO BOX 223, WILLIAMSBURG, VA 23185-5629
(757) 808-6887
(757) 808-6887
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019011656
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019011656
LMT
VA
Enumeration date
10/09/2025
Last updated
10/09/2025
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