Individual
JEANNA LYNN MEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
203 S FANNIN ST, ROCKWALL, TX 75087-3749
(972) 998-8367
Mailing address
203 S FANNIN ST, ROCKWALL, TX 75087-3749
(972) 998-8367
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT046407
TX
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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