Individual
JEAN M KENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
2950 NORVELL CT, DELTONA, FL 32738-7204
(386) 574-6047
Mailing address
2950 NORVELL CT, DELTONA, FL 32738-7204
(386) 574-6047
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA48630
FL
Other
Enumeration date
06/17/2007
Last updated
07/08/2007
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