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Organization
TIFFANY BALTIERO LMT LLC
Active
Organization
TIFFANY BALTIERO LMT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY BALTIERO LMT (OWNER/OPERATOR)
(904) 405-8260
Entity
Organization
Contact information
Practice address
2523 HERSCHEL ST, JACKSONVILLE, FL 32204-4509
(904) 405-8260
Mailing address
1286 MENNA ST, JACKSONVILLE, FL 32205-8330
(904) 405-8260
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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