Individual
JENNIFER KATHLEEN SAN JUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3341 SW 40TH AVE, WEST PARK, FL 33023-5621
(954) 309-6623
Mailing address
3341 SW 40TH AVE, WEST PARK, FL 33023-5621
(954) 309-6623
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA68146
FL
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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