Individual
JEANETTE MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
110 E REYNOLDS ST STE 300, PLANT CITY, FL 33563-3361
(813) 659-4600
Mailing address
110 E REYNOLDS ST STE 300, PLANT CITY, FL 33563-3361
(813) 659-4600
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA87367
FL
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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