Individual
JERRICA GLAESER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4916 SHELL STREAM BLVD, NEW PORT RICHEY, FL 34652-4439
(727) 300-2668
Mailing address
4916 SHELL STREAM BLVD, NEW PORT RICHEY, FL 34652-4439
(727) 300-2668
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA84006
FL
Other
Enumeration date
12/09/2022
Last updated
09/25/2023
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