Individual
JAMIE M LACHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4720 SE 15TH AVE, SUITE 120, CAPE CORAL, FL 33904-9654
(239) 945-0220
(239) 945-4005
Mailing address
4720 SE 15TH AVE, SUITE 120, CAPE CORAL, FL 33904-9654
(239) 945-0220
(239) 945-4005
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA27009
FL
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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