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Organization
SKIN REVIVE MASSAGE AND SPA, LLC
Active
Organization
SKIN REVIVE MASSAGE AND SPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA LESTER LMT (LICENSED MASSAGE THERAPIST/OWNER)
(904) 955-2706
Entity
Organization
Contact information
Practice address
13453 N MAIN ST STE 304, JACKSONVILLE, FL 32218-2273
(904) 955-2706
Mailing address
13453 N MAIN ST STE 304, JACKSONVILLE, FL 32218-2273
(904) 955-2706
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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