Individual
JAMELIA ANANDA JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4777 CUMBRIAN LAKES DR, KISSIMMEE, FL 34746-6729
(407) 758-0843
Mailing address
4777 CUMBRIAN LAKES DR, KISSIMMEE, FL 34746-6729
(407) 758-0843
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA28849
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA28849
NONE
FL
Enumeration date
11/06/2021
Last updated
11/06/2021
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