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Individual

JENNIFER HOPE MONTGOMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
119 WACCAMAW MEDICAL PARK DR UNIT B, CONWAY, SC 29526-5206
(843) 251-3672
Mailing address
119 WACCAMAW MEDICAL PARK DR UNIT B, CONWAY, SC 29526-5206
(843) 251-3672

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5834
SC

Other

Enumeration date
12/06/2014
Last updated
12/06/2014
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