Individual
JACQUES LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
398 N CONGRESS AVE, SUITE 385, BOYNTON BEACH, FL 33426-3467
(561) 541-1770
Mailing address
2237 WHITE PINE CIR, APT # D, GREENACRES, FL 33415-6043
(561) 541-1770
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA74611
FL
Other
Enumeration date
09/26/2015
Last updated
09/26/2015
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