Individual
JERMAINE DRENNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3820 SHARON TER, PENNSAUKEN, NJ 08110-3750
(856) 359-0196
Mailing address
3820 SHARON TER, PENNSAUKEN, NJ 08110-3750
(856) 359-0196
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01013800
NJ
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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