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Individual

MRS. JENNIFER ANN LINDLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
11945 SAN JOSE BLVD, SUITE 202, JACKSONVILLE, FL 32223-1613
(904) 880-2424
(904) 880-2420
Mailing address
11945 SAN JOSE BLVD, SUITE 202, JACKSONVILLE, FL 32223-1613
(904) 880-2424
(904) 880-2420

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA#14815
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA#14815
MASSAGE LICENSE
FL
Enumeration date
07/11/2006
Last updated
07/08/2007
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