Individual
MALISSA H BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1012 MARGARET ST, JACKSONVILLE, FL 32204-3737
(904) 236-3693
Mailing address
2307 CHEROKEE COVE TRL, JACKSONVILLE, FL 32221-4921
(904) 236-3693
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
73942
FL
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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