Individual
AUDRA L JONES
Active
Individual
AUDRA L JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA50884
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106822
GROUP MEDICARE PTAN
FL
01
—
1376593053
GROUP NPI
—
Enumeration date
08/12/2009
Last updated
08/12/2009
Update your record
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