Individual
JOELLIE MARIE GONSETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, LMT
Contact information
Practice address
307 NE 12TH AVE, OCALA, FL 34470-5911
(352) 875-5515
(352) 355-1504
Mailing address
PO BOX 5115, OCALA, FL 34478-5115
(352) 875-5515
(352) 355-1504
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15409
FL
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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