Individual
MRS. JACLYN MARIE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1915 COURTNEY DR, BIRMINGHAM, AL 35209-4101
(813) 294-2778
Mailing address
5068 JANET LN, IRONDALE, AL 35210-2944
(813) 294-2778
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6265
AL
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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