Individual
DERIS BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12561 PHILIPS HWY #8, JACKSONVILLE, FL 32256
(904) 323-2036
Mailing address
7643 GATE PARKWAY STE 104-257, JACKSONVILLE, FL 32256
(904) 323-2036
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA102032
FL
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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