Individual
ALYSSE LENOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2259 W 16TH ST, JACKSONVILLE, FL 32209-4664
(904) 910-9434
Mailing address
2259 W 16TH ST, JACKSONVILLE, FL 32209-4664
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA100629
FL
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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