Individual
DEVEN IRENE MCPHAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
725 NAUTICA DR, SUITE 104, JACKSONVILLE, FL 32218-7255
(904) 483-2222
(904) 483-2221
Mailing address
725 NAUTICA DR, SUITE 104, JACKSONVILLE, FL 32218-7255
(904) 483-2222
(904) 483-2221
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA50292
FL
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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