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Individual

MRS. JENNA L. LEININGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT, DIPL. ABT, CP A

Contact information

Practice address
508 UNIVERSITY AVE, LAS VEGAS, NM 87701-4349
(505) 718-5261
Mailing address
PO BOX 2002, LAS VEGAS, NM 87701-2002
(505) 718-5261

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT6891
NM

Other

Enumeration date
09/23/2011
Last updated
03/15/2013
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