Individual
JESSICA LYNN FENOUIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11555 CENTRAL PKWY STE 701, JACKSONVILLE, FL 32224-2699
(904) 537-2064
Mailing address
3204 PARK ST, JACKSONVILLE, FL 32205-7927
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA84416
FL
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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