Individual
ANGELA CATHERINE BENCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1819 HENDRICKS AVE, JACKSONVILLE, FL 32207-3303
(904) 348-5511
Mailing address
1819 HENDRICKS AVE, JACKSONVILLE, FL 32207-3303
(904) 348-5511
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA36303
FL
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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