Individual
MRS. EMMANUELLE KONI LEWIS-JOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6860 66TH ST N, PINELLAS PARK, FL 33781-5036
(727) 373-6732
Mailing address
6860 66TH ST N, PINELLAS PARK, FL 33781-5036
(727) 373-6732
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA94834
FL
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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