Individual
JENNIFER MARI VILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 EDGEWATER DR, ORLANDO, FL 32804-6360
(407) 704-8867
Mailing address
3628 E ESTHER ST, ORLANDO, FL 32812-5117
(407) 616-7727
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA56095
FL
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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