Individual
MISS JACQUELYN RALEIGH REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
3645 NW 24TH PL, GAINESVILLE, FL 32605
(352) 378-9692
Mailing address
3645 NW 24TH PL, GAINESVILLE, FL 32605-2625
(352) 378-9692
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
MA57130
FL
Other
Enumeration date
12/14/2009
Last updated
12/14/2009
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