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Individual

JACQUELINE VON COLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
255 N KENTUCKY AVE # 301, LAKELAND, FL 33801-4981
(863) 521-3494
Mailing address
1824 BALTIC PL, LAKELAND, FL 33809-1725
(863) 521-3494

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
08/31/2024
Last updated
08/31/2024
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