Individual
MRS. JENNIFER L VASCONCELOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
189 GOVERNOR ST STE 202, PROVIDENCE, RI 02906-3124
(401) 484-4138
Mailing address
111 VALLETTE ST, CRANSTON, RI 02920-6223
(401) 484-4138
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT01510
RI
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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