Individual
MRS. JENNIFER RENEE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8786 STATE ROAD 21, MELROSE, FL 32666-8809
(352) 214-6508
Mailing address
PO BOX 644, MELROSE, FL 32666-0644
(352) 214-6508
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA52272
FL
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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