Individual
JAYDA CHARLENE STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
74 PLAIN ST STE D, BROCKTON, MA 02301-7162
(610) 291-9948
(610) 291-9948
Mailing address
180 MAIN ST APT F135, BRIDGEWATER, MA 02324-1467
(610) 291-9948
(610) 291-9948
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17148
MA
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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