Individual
MRS. JENNIFER CECILIA SOUTHWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1720 S EDMONDS LN STE 107, LEWISVILLE, TX 75067-5805
(214) 497-5382
Mailing address
995 DOWNEY DR, LEWISVILLE, TX 75067-7436
(214) 497-5382
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT048441
TX
Other
Enumeration date
11/27/2021
Last updated
11/27/2021
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