Individual
MRS. JENNIFER HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT 16428
Contact information
Practice address
268 PEACEFORD AVE, RAEFORD, NC 28376-5015
(347) 733-4159
Mailing address
268 PEACEFORD AVE, RAEFORD, NC 28376-5015
(347) 733-4159
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16428
NC
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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