Individual
REBECCA JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
665 LEE AVE, MURRELLS INLET, SC 29576-6259
(843) 289-1145
Mailing address
665 LEE AVE, MURRELLS INLET, SC 29576-6259
(843) 289-1145
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5032
SC
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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