Individual
ALYSE COSIMA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3576 SAINT JOHNS AVE, JACKSONVILLE, FL 32205-8446
(904) 387-9355
(904) 387-6701
Mailing address
8450 GATE PKWY W # 16254, JACKSONVILLE, FL 32216-1049
(904) 352-5292
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 59574
FL
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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