Individual
MS. JACQUELINE COLLAZOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4531 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6611
(954) 294-4014
Mailing address
4531 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6611
(954) 294-4014
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25710
FL
Other
Enumeration date
08/13/2009
Last updated
08/13/2009
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