Individual
BRENDA CELESTE WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
1147 EDGEWOOD AVE S, JACKSONVILLE, FL 32205-0810
(904) 545-7343
Mailing address
1147 EDGEWOOD AVE S, JACKSONVILLE, FL 32205-0810
(904) 545-7343
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA73987
FL
225700000X
Massage Therapist
Primary
MA73987
FL
Other
Enumeration date
09/26/2016
Last updated
04/04/2018
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