Individual
JACQUELINE MICHELE VRENTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
54 S 2ND ST, EASTON, PA 18042-3659
(484) 548-4840
Mailing address
54 S 2ND ST, EASTON, PA 18042-3659
(484) 548-4840
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG006726
PA
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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