Individual
MRS. JENNIFER L CORNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3697 LAKE EMMA RD, LAKE MARY, FL 32746-6121
(407) 506-2999
Mailing address
967 CHERRY BRANCH CT, LAKE MARY, FL 32746-1944
(407) 506-2999
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA42934
FL
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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