Individual
JESSICA MARIE HODGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
521 NE 119TH ST, BISCAYNE PARK, FL 33161-6233
(254) 449-5065
Mailing address
521 NE 119TH ST, BISCAYNE PARK, FL 33161-6233
(254) 449-5065
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA65795
FL
225700000X
Massage Therapist
Primary
MT110422
TX
Other
Enumeration date
01/10/2011
Last updated
06/28/2012
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