Individual
MR. ALEXANDER A KIRICHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
13770 BEACH BLVD STE 4, JACKSONVILLE, FL 32224-7227
(904) 539-3352
(904) 539-3351
Mailing address
13770 BEACH BLVD STE 4, JACKSONVILLE, FL 32224-7227
(904) 539-3352
(904) 539-3351
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA89591
FL
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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