Individual
JENNIFER HELEN LA COA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
290 NE 54TH ST APT 3, MIAMI, FL 33137-2823
(786) 306-7948
Mailing address
290 NE 54TH ST APT 3, MIAMI, FL 33137-2823
(786) 306-7948
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
46147
FL
374J00000X
Doula
Primary
—
FL
374K00000X
Religious Nonmedical Practitioner
—
—
374T00000X
Religious Nonmedical Nursing Personnel
—
—
Other
Enumeration date
01/02/2021
Last updated
02/08/2022
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