Individual
JENNIFER BALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA MM
Contact information
Practice address
5155 S WASHINGTON AVE # 104, TITUSVILLE, FL 32780-7300
(321) 361-8791
Mailing address
5155 S WASHINGTON AVE # 104, TITUSVILLE, FL 32780-7300
(321) 361-8791
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA85659
FL
Other
Enumeration date
07/25/2021
Last updated
07/25/2021
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