Individual
DARCELLIS STINNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1100 CESERY BLVD, JACKSONVILLE, FL 32211-5674
(904) 551-5884
Mailing address
5164 JOHNSON CREEK DR, JACKSONVILLE, FL 32218-9308
(717) 608-0270
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA79327
FL
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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