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Individual

JESSICA LYNN GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
3925 SW COUNTY ROAD 240, LAKE CITY, FL 32024-4921
(386) 853-1559
Mailing address
3925 SW COUNTY ROAD 240, LAKE CITY, FL 32024-4921
(386) 853-1559

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA80897
FL

Other

Enumeration date
08/08/2023
Last updated
08/21/2023
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