Individual
JAIME ISRAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
7329 SEQUOIA DR, TAMPA, FL 33637-6441
(786) 877-3119
Mailing address
7329 SEQUOIA DR, TAMPA, FL 33637-6441
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA38339
FL
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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