Individual
JENNIFER DE HER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
206 HIDDEN VALLEY RD, FAYETTEVILLE, GA 30214-1494
(678) 438-5976
Mailing address
206 HIDDEN VALLEY RD, FAYETTEVILLE, GA 30214-1494
(678) 438-5976
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT014311
GA
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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