Individual
JENNIFER KATHLEEN GOODERMOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1105 20TH ST N, JACKSONVILLE BEACH, FL 32250-2892
(904) 241-4597
(904) 241-4597
Mailing address
1105 20TH ST N, JACKSONVILLE BEACH, FL 32250-2892
(904) 241-4597
(904) 241-4597
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18717
FL
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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