Jeanine M Penland LMT

NPI 1093081283 - Massage Therapist - 225700000X

NPI Details
NPI 1093081283
Gender Female
Enumeration Date 04/01/2012
Last Updated 04/01/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
3311 SMETANA RD
BRYAN TX, 77807-5275, US
Phone (979) 450-3718
Fax
Business Location
3311 SMETANA RD
BRYAN TX, 77807-5275, US
Phone
Fax
Toxanomy
Taxonomy Code 225700000X
License State Texas
License Number MT106353
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According to our database, Mrs. Jeanine M Penland LMT NPI is 1093081283, taxonomy code is 225700000X and license number is MT106353, license state is located at Texas. Jeanine M Penland LMT physically located at 3311 Smetana Rd, Bryan TX, 77807-5275. NPI Number Jeanine M Penland LMT has the Individual type.

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1093081283 NPI number is provided on an as is basis without warranty of any kind. 1093081283 is maintained by the National Plan & Provider Enumeration System. The contents of Jeanine M Penland LMT are for informational purposes only.