Individual
JENNIFER LOCKLEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
610 SOUTH JONES ST, PEMBROKE, NC 28372
(910) 633-9954
Mailing address
610 SOUTH JONES ST, PEMBROKE, NC 28372
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8416
NC
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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