Individual
JENNIFER MOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
968 FIRST COLONIAL RD STE 101, VIRGINIA BEACH, VA 23454-3171
(757) 410-5322
Mailing address
1421 KEMPSVILLE RD STE C, CHESAPEAKE, VA 23320-1406
(757) 410-5322
(757) 548-0670
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019018488
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019018488
VIRGINIA DEPARTMENT OF HEALTH LICENSE
VA
Enumeration date
12/27/2021
Last updated
12/27/2021
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