Individual
JOVAN DRAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1949 CORAL POINT DR, CAPE CORAL, FL 33990-3827
(239) 440-7189
Mailing address
1949 CORAL POINT DR, CAPE CORAL, FL 33990-3827
(239) 440-7189
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA57928
FL
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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