Individual
MRS. JENNIFER DEE TOLLEFSRUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
401 E MAIN ST, SUITE 206-B, CLAYTON, NC 27520-2545
(919) 622-1789
Mailing address
401 E MAIN ST, SUITE 206-B, CLAYTON, NC 27520-2545
(919) 622-1789
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15164
NC
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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