Organization
MY NECK 2 MY BACK MASSAGE
Active
Organization
MY NECK 2 MY BACK MASSAGE
Active
Other names
Laquia Monique Jenkins
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LAQUIA MONIQUE JENKINS C.M.T. (OWNER)
(209) 952-5614
Entity
Organization
Contact information
Practice address
42 N SUTTER ST, STE 500, STOCKTON, CA 95202-2913
(209) 952-5614
(209) 242-2654
Mailing address
PO BOX 436, STOCKTON, CA 95201-0436
(209) 952-5614
(209) 242-2654
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
—
—
173C00000X
Reflexologist
—
—
174400000X
Specialist
—
—
174H00000X
Health Educator
—
—
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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