Individual
JAKIERRA OATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7122 SE 216TH TER, HAWTHORNE, FL 32640-3981
(352) 318-8759
Mailing address
PO BOX 281, WELAKA, FL 32193-0281
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
95119
FL
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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