Individual
MR. JAN WESLEY BEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4800 N FEDERAL HWY, 301E, BOCA RATON, FL 33431-5188
(561) 809-4985
Mailing address
4800 N FEDERAL HWY, 301E, BOCA RATON, FL 33431-5188
(561) 809-4985
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA45714
FL
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
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