Individual
CATHLEEN ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13051 GRAN BAY PKWY UNIT 2321, JACKSONVILLE, FL 32258-6520
(650) 490-0371
Mailing address
13051 GRAN BAY PKWY UNIT 2321, JACKSONVILLE, FL 32258-6520
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA47380
FL
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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