Individual
JEHNNA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 E BANNISTER RD STE C, KANSAS CITY, MO 64131-3020
(816) 882-0176
Mailing address
8508 RUSKIN WAY, KANSAS CITY, MO 64134-3410
(816) 651-6491
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
MO
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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