Individual
MRS. TESHA JOHNSON JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMP
Contact information
Practice address
2104 CASWELL LN, METAIRIE, LA 70001-1760
(504) 570-0075
Mailing address
2104 CASWELL LN, METAIRIE, LA 70001-1760
(504) 570-0075
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8760
LA
Other
Enumeration date
07/04/2018
Last updated
07/04/2018
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