Individual
MR. LONNIE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3750 SAN JOSE PL STE 32, JACKSONVILLE, FL 32257-8861
(904) 551-4636
Mailing address
3750 SAN JOSE PL STE 32, JACKSONVILLE, FL 32257-8861
(904) 551-4636
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA40199
FL
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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