Individual
JACQUELINE M TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
138 MINE LAKE CT STE 100, RALEIGH, NC 27615-6417
(919) 523-6729
Mailing address
138 MINE LAKE CT STE 1006432, RALEIGH, NC 27615-6417
(919) 523-6729
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15263
NC
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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