Individual
JENNIFFER LYDIA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
909 SE 47TH TER, 201-3, CAPE CORAL, FL 33904-9000
(239) 770-0238
Mailing address
620 SE 47TH ST, UNIT 1, CAPE CORAL, FL 33904-5569
(239) 770-0238
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA31502
FL
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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