Individual
JHONNATHAN BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3303 N LAKEVIEW DR, TAMPA, FL 33618-1364
(813) 586-3444
Mailing address
3303 NORTH LAKEVIEW DRIVE, 7827 NORTH DALE MABRY HIGH WAY SUITE #108, TAMPA, FL 33614
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA56786
FL
Other
Enumeration date
10/23/2009
Last updated
06/10/2010
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