Individual
JENNIFER RAE RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
98 CENTRAL AVE, OCEAN VIEW, DE 19970-9715
(302) 542-7095
(302) 542-7095
Mailing address
29967 SAWMILL DR, DAGSBORO, DE 19939-3353
(302) 542-7095
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-0004350
DE
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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