Individual
CAROL JAMAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3160 VIRGINIA ST, MIAMI, FL 33133-4529
(786) 473-4175
Mailing address
3160 VIRGINIA ST, MIAMI, FL 33133-4529
(786) 473-4175
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA65601
FL
Other
Enumeration date
09/10/2016
Last updated
09/10/2016
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