Organization
JENNIFER BRAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN MICHAEL WHITE LMT (OWNER)
(636) 294-7555
Entity
Organization
Contact information
Practice address
2717 HIGHWAY K, O FALLON, MO 63368-7864
(636) 294-7555
Mailing address
2717 HIGHWAY K, O FALLON, MO 63368-7864
(636) 294-7555
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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