Jennifer Kathleen San Juan, LMT

NPI #1326481896 in West Park, Florida

Provider Information

NPI Number: 1326481896
Entity Type: Individual
Name: Jennifer Kathleen San Juan, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Apr 15, 2013
Last Updated: Apr 15, 2013

Practice Location

Address: 3341 SW 40TH AVE
City: West Park
State: Florida
ZIP Code: 33023-5621
Phone: (954) 309-6623

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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