Jennifer Marie Jackson, L.M.T.

NPI #1104832898 in Cocoa, Florida

Provider Information

NPI Number
1104832898
Entity Type
Individual
Name
Jennifer Marie Jackson, L.M.T.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
L.M.T.
Enumeration Date
Aug 1, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1553 N COCOA BLVD
City
Cocoa
State
Florida
ZIP Code
32922-6933
Phone
(321) 634-5710

Specialties & Taxonomy Codes

Specialty
Specialist

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