Individual
MS. JENNIFER JEAN TY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2075 PESCARA CT, LAS VEGAS, NV 89123-3909
(917) 592-3395
Mailing address
2251 N RAMPART BLVD # 165, LAS VEGAS, NV 89128-7640
(917) 592-3395
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
NVMT.7914
NV
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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