Individual
MRS. JOANIE LASHELLE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4251 UNIVERSITY BLVD S STE 103, JACKSONVILLE, FL 32216-4974
(904) 305-2115
Mailing address
4251 UNIVERSITY BLVD S STE 103, JACKSONVILLE, FL 32216-4974
(904) 305-2115
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA86693
FL
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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