Individual
MISS JACQUELYN KATE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
30924 CLUBHOUSE CIR, LEWES, DE 19958-5577
(302) 249-2640
Mailing address
30924 CLUBHOUSE CIR, LEWES, DE 19958-5577
(302) 249-2640
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-0001314
DE
Other
Enumeration date
09/09/2008
Last updated
11/30/2010
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