Individual
BERNADINE L DEJONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
100 BURNSED PL, STE 1020, OVIEDO, FL 32765-6695
(407) 971-3898
Mailing address
138 SAINT JOHNS CIR, APT 200, FERN PARK, FL 32730-2316
(407) 971-3898
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA55651
FL
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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