Individual
MRS. JENNIFER LYNNE BODANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
10323 CROSS CREEK BLVD STE B, TAMPA, FL 33647-2988
(813) 325-1296
Mailing address
30624 BITTSBURY CT, WESLEY CHAPEL, FL 33543-3925
(813) 333-4032
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 36001
FL
Other
Enumeration date
07/03/2009
Last updated
07/03/2009
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