Individual
MISS JENNIFER LYNN MAYR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BIB CERT, AA DEGREE,
Contact information
Practice address
2708 NE 14TH ST, SUITE 5, POMPANO BEACH, FL 33062-3565
(888) 880-9270
Mailing address
1614 BINGHAM DR, FAYETTEVILLE, NC 28304-5528
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
946-29-8754-S
—
NC
Enumeration date
04/03/2012
Last updated
04/03/2012
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