Individual
JENNIFER LOVE SPROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NMT
Contact information
Practice address
1122 CORPORATE WAY, SACRAMENTO, CA 95831-6124
(916) 395-5804
Mailing address
2164 ATRISCO CIR, SACRAMENTO, CA 95833-2736
(916) 827-5766
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
72737
CA
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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