Individual
MS. JESSICA IVY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2750 MALL DR APT 331, SARASOTA, FL 34231-5956
(518) 928-3711
Mailing address
2750 MALL DR APT 331, SARASOTA, FL 34231-5956
(518) 928-3711
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9528327
FL
225700000X
Massage Therapist
Primary
49480
FL
Other
Enumeration date
09/28/2007
Last updated
11/12/2020
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