Individual
JYNELLE NICOLE ORNELAS-STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.T, M.M.P
Contact information
Practice address
602 N LOWER BROADWAY ST, CORPUS CHRISTI, TX 78401-2321
(136) 173-7781
Mailing address
602 N LOWER BROADWAY ST, CORPUS CHRISTI, TX 78401-2321
(136) 173-7781
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT109678
TX
225700000X
Massage Therapist
MT116053
TX
225700000X
Massage Therapist
MT129454
TX
225700000X
Massage Therapist
MT130521
TX
225700000X
Massage Therapist
MT136583
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT109678
MASSAGE THEARPIST
TX
01
—
MT129454
MASSAGE THERAPIST
TX
01
—
MT130521
MASSAGE THERAPIST
TX
01
—
MT136583
MASSAGE THERAPIST
TX
Enumeration date
02/23/2023
Last updated
02/23/2023
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