Individual
JENNIFER HEDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 AMES HEIGHTS ROAD, LANSING, WV 25862-0078
(304) 228-1012
Mailing address
PO BOX 201, MOUNT NEBO, WV 26679-0201
(304) 228-1012
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2002-0874
WV
Other
Enumeration date
03/21/2016
Last updated
03/21/2016
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