Individual
JESSICA M EMILUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4431 ATWATER DR, TAMPA, FL 33610-6800
(813) 495-5171
(813) 495-5171
Mailing address
4431 ATWATER DR, TAMPA, FL 33610-6800
(813) 495-5171
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA63445
FL
Other
Enumeration date
05/30/2017
Last updated
05/30/2017
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