Individual
JENINE V BECKFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
570 OCEAN DR, #501, JUNO BEACH, FL 33408-1952
(954) 476-6401
Mailing address
1484 AVON LN, APT 24, NORTH LAUDERDALE, FL 33068-5584
(954) 934-5249
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA59747
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA59747
LICENSED MASSAGE THERAPIST
FL
Enumeration date
10/29/2010
Last updated
10/29/2010
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