Individual
MRS. JEANNE MARILYN CICCIO-ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
778 PLEASURE BAY DR, JACKSONVILLE, FL 32225-5650
(904) 534-0068
Mailing address
778 PLEASURE BAY DR, JACKSONVILLE, FL 32225-5650
(904) 534-0068
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 21618
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C7467
BCBS
FL
Enumeration date
08/03/2006
Last updated
07/08/2007
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