Individual
JENIQUA BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 ESTATE HERMON HL, CHRISTIANSTED, VI 00820-4456
(340) 778-8888
Mailing address
5340 MILLENIA BLVD APT 12402, ORLANDO, FL 32839-3437
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60530
FL
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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