Individual
JACQUELYN COLLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1060 CYPRESS PKWY STE 104, KISSIMMEE, FL 34759-3328
(407) 914-9168
(407) 337-8005
Mailing address
2717 EAGLE CANYON DR S, KISSIMMEE, FL 34746-3170
(407) 914-9168
(407) 337-8005
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA78067
FL
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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