Individual
JENELLE CHENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 W LAKE ST, MINNEAPOLIS, MN 55408-2547
(612) 823-7768
Mailing address
3533 ELLIOT AVE, MINNEAPOLIS, MN 55407-2128
(612) 618-7433
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LIC69814
MN
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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