Jennifer Lee Van Wyngaardt, LMT
NPI #1093562936 in Saint Augustine, Florida
Provider Information
- NPI Number
- 1093562936
- Entity Type
- Individual
- Name
- Jennifer Lee Van Wyngaardt, LMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Massage Therapist
- Credential
- LMT
- Enumeration Date
- Apr 30, 2024
- Last Updated
- Apr 30, 2024
Practice Location
- Address
- 1797 OLD MOULTRIE RD STE 103
- City
- Saint Augustine
- State
- Florida
- ZIP Code
- 32084-5721
- Phone
- (904) 844-1616
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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