Organization
MASSAGE BY JEN LLC
Active
Organization
MASSAGE BY JEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANAEL REYES (OWNER)
(813) 373-4389
Entity
Organization
Contact information
Practice address
12406 PLANTATION PINE LN APT 202, TAMPA, FL 33635-1811
(813) 373-4389
Mailing address
12406 PLANTATION PINE LN APT 202, TAMPA, FL 33635-1811
(813) 373-4389
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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