Individual
MRS. JENNIFER LYNN WING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12200 W HIGHWAY 62, FARMINGTON, AR 72730-9560
(239) 293-5477
Mailing address
12200 W HIGHWAY 62, FARMINGTON, AR 72730-9560
(239) 293-5477
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
8554
AR
174N00000X
Lactation Consultant (Non-RN)
—
—
225700000X
Massage Therapist
Primary
8554
AR
225700000X
Massage Therapist
MT4582
ME
374J00000X
Doula
—
—
Other
Enumeration date
04/30/2011
Last updated
01/20/2021
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