Individual
MS. SHANNON PAGE GOOSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AP, LMT
Contact information
Practice address
14546 OLD ST AUGUSTINE ROAD, SUITE 403, JACKSONVILLE, FL 32258
(904) 296-1500
(904) 391-1005
Mailing address
14546 OLD SAINT AUGUSTINE RD, SUITE 403, JACKSONVILLE, FL 32258-5468
(904) 296-1500
(904) 391-1005
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP 1566
FL
225700000X
Massage Therapist
MA 20767
FL
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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