Individual
JAMIE TARAVELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10851 S OCEAN DR LOT 64, JENSEN BEACH, FL 34957-2642
(305) 849-6877
Mailing address
10851 S OCEAN DR LOT 64, JENSEN BEACH, FL 34957-2642
(305) 849-6877
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
378382
FL
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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