Individual
JENNIFER LEIGH DESCHENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7 EAGLE CTR STE 2G, O FALLON, IL 62269-1985
(618) 409-3869
Mailing address
203 EDWARD ST, O FALLON, IL 62269-2405
(618) 409-3869
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227018750
IL
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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