Individual
MS. JEANNE MARIE KETRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
505 HAMILTON AVE STE 204A, LINWOOD, NJ 08221-1059
(609) 601-0477
Mailing address
505 HAMILTON AVE STE 204A, LINWOOD, NJ 08221-1059
(609) 601-0477
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00676100
NJ
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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