Individual
JACQUELINE RESTO ALPAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1901 S TAMIAMI TRAIL, SUITE F-G, VENICE, FL 34293
(941) 493-8661
(941) 496-8515
Mailing address
1790 POMELO DRIVE, VENICE, FL 34293-2716
(941) 493-8596
(941) 496-8515
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA0011466
FL
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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