Individual
JENNIFER MISHOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4808 COURTHOUSE ST STE 202, WILLIAMSBURG, VA 23188-2684
(757) 345-6562
Mailing address
8456 BAILEYS WHARF RD, GLOUCESTER, VA 23061-4703
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019020117
VA
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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