Individual
LAKEISHA WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12285 BRISTOL CREEK DR, JACKSONVILLE, FL 32218-9054
(214) 931-0574
Mailing address
12285 BRISTOL CREEK DR, JACKSONVILLE, FL 32218-9054
(214) 931-0574
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA104214
FL
225700000X
Massage Therapist
—
FL
Other
Enumeration date
02/06/2024
Last updated
02/14/2024
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