Individual
MR. JONAS MCDONALD DEFFES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
326 E 7TH AVE, MOUNT DORA, FL 32757-4902
(352) 257-9155
Mailing address
326 E 7TH AVE, MOUNT DORA, FL 32757-4902
(352) 257-9155
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 45577
FL
Other
Enumeration date
07/23/2006
Last updated
07/08/2007
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