Individual
JASEN E. DIPPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
807 W CORBETT AVE STE 8, SWANSBORO, NC 28584-9039
(910) 325-3600
Mailing address
213 HOLLY ST # 234, HOLLY RIDGE, NC 28445-7879
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19336
NC
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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