Individual
BARNDON J JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
312 23RD ST, WEST PALM BEACH, FL 33407-5913
(561) 351-8395
Mailing address
312 23RD ST, WEST PALM BEACH, FL 33407-5913
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA76382
FL
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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