Individual
JACQUELYN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3050 MEADOW LN, MOBILE, AL 36618-4634
(954) 410-7409
Mailing address
3050 MEADOW LN, MOBILE, AL 36618-4634
(954) 410-7409
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5575
AL
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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