Individual
JENNIFER LYN WILKICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
51 SOCKANOSSET CROSS RD, SUITE 204, CRANSTON, RI 02920-5536
(401) 935-3549
Mailing address
51 SOCKANOSSET CROSS RD, SUITE 204, CRANSTON, RI 02920-5536
(401) 935-3549
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT01904
RI
Other
Enumeration date
07/14/2013
Last updated
07/14/2013
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