Individual
JOSHUA JERNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8801 GLENCREST ST APT 6201, HOUSTON, TX 77061-3033
(832) 273-4728
Mailing address
8801 GLENCREST ST APT 6201, HOUSTON, TX 77061-3033
(832) 273-4728
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT135283
TX
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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