Individual
LASHAWNTE ZAKIEK MCCRAW SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NMT
Contact information
Practice address
869 STOCKTON ST, SUITE 3, JACKSONVILLE, FL 32204-3590
(904) 388-1300
(904) 388-1302
Mailing address
869 STOCKTON ST, SUITE 3, JACKSONVILLE, FL 32204-3590
(904) 388-1300
(904) 388-1302
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA45278
FL
Other
Enumeration date
12/21/2007
Last updated
03/17/2008
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