Individual
MRS. MARY JENNEY KINCAID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NMLMT
Contact information
Practice address
3643 WEBBER ST, SARASOTA, FL 34232-4412
(941) 921-5569
Mailing address
3643 WEBBER ST, SARASOTA, FL 34232-4412
(941) 921-5569
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA0020867
FL
Other
Enumeration date
11/25/2007
Last updated
11/25/2007
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