Individual
JENNIFER MARIE LAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1465 WINNEBAGO AVE, JACKSONVILLE, FL 32210-1156
(805) 305-6147
Mailing address
1465 WINNEBAGO AVE, JACKSONVILLE, FL 32210-1156
(805) 305-6147
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
100005
FL
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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