Individual
KANEESHA BONITA JENRETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
10 W FRONT ST, LILLINGTON, NC 27546-6677
(919) 285-9431
Mailing address
189 FERRIS CIR, ANGIER, NC 27501-6110
(919) 285-9431
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18384
NC
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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