Individual
MRS. JAQUANA S GAINEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
10841 HICKORY MILL XING APT 201, RALEIGH, NC 27617-4866
(336) 523-7090
Mailing address
10841 HICKORY MILL XING APT 201, RALEIGH, NC 27617-4866
(336) 523-7090
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
225700000X
Massage Therapist
Primary
22486
NC
Other
Enumeration date
10/26/2022
Last updated
01/12/2026
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