Individual
JOSETTE BENITA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1912 HAMILTON ST STE 103, JACKSONVILLE, FL 32210-2077
(904) 490-7775
Mailing address
9455 103RD ST APT 1525, JACKSONVILLE, FL 32210-0300
(904) 233-5278
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA33539
FL
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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