Individual
JENNIFER K PRINCIPATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6951 NW HERSHY CIR, PORT ST LUCIE, FL 34983-1322
(772) 678-1519
Mailing address
6951 NW HERSHY CIR, PORT ST LUCIE, FL 34983-1322
(772) 678-1519
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA55406
FL
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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