Individual
JEAN RICCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MFR, NMT
Contact information
Practice address
259 4TH AVE N, ST PETERSBURG, FL 33701
(727) 642-2518
Mailing address
259 4TH AVE N, ST PETERSBURG, FL 33701-2911
(727) 642-2518
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA63040
FL
Other
Enumeration date
01/31/2014
Last updated
06/21/2018
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