Individual
JENNIFER JO WIDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6260 66TH ST N, PINELLAS PARK, FL 33781-5024
(727) 420-0093
Mailing address
6260 66TH ST N, PINELLAS PARK, FL 33781-5024
(727) 420-0093
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA24417
FL
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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