Individual
JENNIFER J JOHNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
9475 NE 38TH TERR, ANTHONY, FL 32617-3624
(352) 286-7436
Mailing address
9475 NE 38TH TERR, ANTHONY, FL 32617-3624
(352) 286-7436
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA54342
FL
Other
Enumeration date
05/04/2009
Last updated
07/16/2012
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