Individual
JENNA WITT WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
107 E LAKE MARY BLVD, SANFORD, FL 32773-7111
(407) 453-0090
Mailing address
107 E LAKE MARY BLVD, SANFORD, FL 32773-7111
(407) 453-0090
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA32306
FL
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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