Individual
MR. ADAMS JEREMIAH BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1536 DORADO DR APT B, KISSIMMEE, FL 34741-2401
(407) 334-4904
Mailing address
1536 DORADO DR APT B, KISSIMMEE, FL 34741-2401
(407) 334-4904
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61355
FL
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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