Individual
JENNA CASANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3101 UNIVERSITY BLVD S, SUITE 202, JACKSONVILLE, FL 32216-2790
(904) 294-1323
(904) 724-5770
Mailing address
3101 UNIVERSITY BLVD S, SUITE 202, JACKSONVILLE, FL 32216-2790
(904) 294-1323
(904) 724-5770
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA50558
FL
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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