Individual
MS. EBONY LUCILLE SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9428 BAYMEADOWS RD STE 250, JACKSONVILLE, FL 32256-7970
(904) 795-0705
Mailing address
9428 BAYMEADOWS RD, JACKSONVILLE, FL 32256-7969
(907) 795-0705
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA104020
FL
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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