Individual
JEANA CORLEEN ANDERSON
Active
Individual
JEANA CORLEEN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMT, CLT, CNHP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8302
AR
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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