Individual
CANDACE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1547 SAN MARCO BLVD, JACKSONVILLE, FL 32207-2905
(313) 615-6598
Mailing address
8030 OLD KINGS RD S APT 35, JACKSONVILLE, FL 32217-4161
(313) 615-6598
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA100571
FL
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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