Individual
JENNIFER LYNN STOGRYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, RMT
Contact information
Practice address
34 LONG POND RD, PLYMOUTH, MA 02360-2606
(508) 212-6778
Mailing address
11 STAR AVE, MIDDLEBORO, MA 02346-2427
(508) 212-6778
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7167
MA
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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