Individual
MRS. JENNIFER M LASSONDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
120 ALLEN OAKS WAY, COVINGTON, GA 30016-4515
(404) 824-2765
Mailing address
120 ALLEN OAKS WAY, COVINGTON, GA 30016-4515
(404) 824-2765
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT006421
GA
Other
Enumeration date
10/26/2012
Last updated
01/24/2017
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