Individual
JESUS MARIA GARCIA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
863 CARLYLE AVE SE, PALM BAY, FL 32909-4524
(561) 308-2547
Mailing address
863 CARLYLE AVE SE, PALM BAY, FL 32909-4524
(561) 308-2547
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
63531
FL
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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