Individual
MR. CHRISTOPHER CHASE MISSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2200 N PONCE DE LEON BLVD, ST AUGUSTINE, FL 32084-2600
(904) 349-1188
Mailing address
2310 BAYVIEW RD, JACKSONVILLE, FL 32210-4215
(904) 349-1188
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA43402
FL
Other
Enumeration date
02/13/2013
Last updated
02/13/2013
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