Individual
MISS JESSICA CUPPY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1435 SE 8TH TER STE D, CAPE CORAL, FL 33990-3289
(239) 573-4235
Mailing address
3625 PELICAN BLVD, CAPE CORAL, FL 33914-5830
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA52577
FL
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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