Michiko Jardine, LMT

NPI #1003191784 in Jacksonville, Florida

Provider Information

NPI Number: 1003191784
Entity Type: Individual
Name: Michiko Jardine, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Oct 13, 2011
Last Updated: Oct 13, 2011

Practice Location

Address: 12795 SAN JOSE BLVD
Address 2: SUITE 9
City: Jacksonville
State: Florida
ZIP Code: 32223-2669
Phone: (904) 619-1587

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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