Individual
MRS. JENNIFER GEANNE WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1901 9TH AVE W, BRADENTON, FL 34205
(941) 544-1638
Mailing address
4850 51ST ST W APT 7103, BRADENTON, FL 34210-6609
(941) 544-1638
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA63819
FL
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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