Individual
MALTONIA JULIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6015 CHESTER CIR STE 104, JACKSONVILLE, FL 32217-2270
(904) 321-9193
Mailing address
7844 MATTOX AVE, JACKSONVILLE, FL 32219-3124
(904) 655-0219
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA92943
FL
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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