Individual
AARON JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 E MISSISSIPPI AVE, RUSTON, LA 71270-3904
(318) 243-2772
Mailing address
797 HUNT RD, DUBACH, LA 71235-2271
(318) 243-2772
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9002
LA
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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