Individual
JENNIFER WALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
38 COLONIAL DR, COCOA BEACH, FL 32931-4704
(321) 474-9648
Mailing address
38 COLONIAL DR, COCOA BEACH, FL 32931-4704
(321) 474-9648
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
90085
FL
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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