Individual
ALICIA JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2731 SALINA CT, GREEN COVE SPRINGS, FL 32043-7211
(315) 243-9650
Mailing address
2731 SALINA CT, GREEN COVE SPRINGS, FL 32043-7211
(315) 243-9650
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA83305
FL
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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