Individual
JENNIFER MARRION YOUNGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1432 LAKE ST S, FOREST LAKE, MN 55025-2635
(651) 307-1974
Mailing address
37686 ELEANOR AVE, NORTH BRANCH, MN 55056-5546
(651) 307-1974
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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