Individual
JENNY LING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
165 SOUTHPARK BLVD, ST AUGUSTINE, FL 32086-4101
(347) 543-1923
Mailing address
1020 W 7TH ST, ST AUGUSTINE, FL 32084-0922
(347) 543-1923
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA97608
FL
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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