Individual
DACIA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 MAIN ST E, AHOSKIE, NC 27910-3422
(252) 301-1521
Mailing address
402 MAIN ST E, AHOSKIE, NC 27910-3422
(252) 301-1521
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20172
NC
Other
Enumeration date
01/04/2025
Last updated
01/04/2025
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