Individual
ANN-MARIE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.M.T.
Contact information
Practice address
183 WEDNESDAY HILL RD, LEE, NH 03861-6547
(603) 661-1043
Mailing address
P.O.585, NEWMARKET, NH 03857
(603) 661-1043
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3195M
NH
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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