Individual
MRS. JAMIE KOHRN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6929 ALANA RD, JACKSONVILLE, FL 32211-4176
(904) 891-2459
(904) 551-7042
Mailing address
6929 ALANA RD, JACKSONVILLE, FL 32211-4176
(904) 891-2459
(904) 551-7042
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA0007452
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C5115
BCBSFL PROVIDER #
FL
Enumeration date
07/31/2006
Last updated
07/08/2007
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