Individual
JEANA DENISE ROPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
137 CEDAR LAKE TRL, WINSTON SALEM, NC 27104-3438
(615) 995-2351
Mailing address
137 CEDAR LAKE TRL, WINSTON SALEM, NC 27104-3438
(615) 995-2351
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20963
NC
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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