Individual
JENINE BRUCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12795 SAN JOSE BLVD, SUITE 9, JACKSONVILLE, FL 32223-2669
(904) 619-1587
Mailing address
12795 SAN JOSE BLVD, SUITE 9, JACKSONVILLE, FL 32223-2669
(904) 619-1587
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA41247
FL
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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