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Individual

JESSICA FELCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
4761 NW 2ND AVE APT 302, BOCA RATON, FL 33431-4147
(561) 670-9489
Mailing address
4761 NW 2ND AVE APT 302, BOCA RATON, FL 33431-4147

Taxonomy

Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
MA60207
FL
225700000X
Massage Therapist
MA60207
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA69207
LMT
FL
Enumeration date
07/25/2018
Last updated
07/25/2018
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