Individual
JENNIFER TANA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1415 NE 7TH TER, GAINESVILLE, FL 32601-3745
(352) 222-2236
Mailing address
1415 NE 7TH TER, GAINESVILLE, FL 32601-3745
(352) 222-2236
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA51445
FL
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
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