Individual
JENNIFER KRISTEN CARRUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMT
Contact information
Practice address
2260 FLAT RIVER RD UNIT 9, COVENTRY, RI 02816-8959
(401) 385-9485
(401) 385-9485
Mailing address
37 GLENDALE AVE, WARWICK, RI 02889-1513
(401) 241-4228
(401) 385-9485
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT01547
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT01547
RI MASSAGE LICENSE
RI
Enumeration date
04/23/2019
Last updated
04/23/2019
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