Individual
JENNIFER MERCK NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2002 HIGHWAY 42 N, MCDONOUGH, GA 30253-4730
(770) 305-9969
Mailing address
118 HART RD, JENKINSBURG, GA 30234-2122
(678) 449-5841
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT001575
GA
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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