Individual
MRS. JAYNE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
621 BENTLEY DR, SUFFOLK, VA 23434-6036
(757) 239-0530
Mailing address
621 BENTLEY DR, SUFFOLK, VA 23434-6036
(757) 239-0530
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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