Individual
JESSICA ANNA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
508 AIRPORT RD, SUITE E, PANAMA CITY, FL 32405-4030
(850) 896-1870
Mailing address
1707 NEW JERSEY AVE, LYNN HAVEN, FL 32444-4158
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA76802
FL
Other
Enumeration date
02/01/2015
Last updated
02/01/2015
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