Individual
MISS JENNIFER MARIE DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMP LMT
Contact information
Practice address
6600 W CHARLESTON BLVD STE 101, LAS VEGAS, NV 89146-1067
(725) 220-7557
Mailing address
6600 W CHARLESTON BLVD STE 101, LAS VEGAS, NV 89146-1067
(725) 220-7557
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
NVMT2710
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NVMT2710
LMT
NV
Enumeration date
06/27/2016
Last updated
01/10/2024
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