Individual
MISS JANNETH DE LOS ANGELES BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4273 27TH AVE NE, NAPLES, FL 34120-8962
(239) 362-6378
Mailing address
4273 27TH AVE NE, NAPLES, FL 34120-8962
(239) 362-6378
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 63366
FL
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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