Individual
MS. JASMIN GONZALEZ-CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCMBT, LMT
Contact information
Practice address
153-A MARGINAL FORTUNA, LUQUILLO, PR 00773
(787) 465-0819
Mailing address
PO BOX 2252, FAJARDO, PR 00738-2252
(787) 379-7772
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
718
PR
225700000X
Massage Therapist
MA68855
FL
225700000X
Massage Therapist
MAS8027
SC
225700000X
Massage Therapist
MT010105
GA
Other
Enumeration date
08/27/2017
Last updated
11/05/2020
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