Individual
BRENDA JEPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRA
Contact information
Practice address
370 MAIN ST STE 202, STONEHAM, MA 02180-3515
(978) 604-2674
Mailing address
18 BLUEBERRY LN, WILMINGTON, MA 01887-4497
(978) 604-2674
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
B01422
MA
Other
Enumeration date
03/15/2013
Last updated
03/15/2013
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