MS. Jenna Michal Defazio, LMT LICENSED MASSAGE

NPI #1376762559 in Juno Beach, Florida

Provider Information

NPI Number: 1376762559
Entity Type: Individual
Name: MS. Jenna Michal Defazio, LMT LICENSED MASSAGE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT LICENSED MASSAGE
Enumeration Date: Apr 25, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 570 OCEAN DR
Address 2: HOLISTIC MASSAGE AND WELLNESS CLINICS #501
City: Juno Beach
State: Florida
ZIP Code: 33408
Phone: (954) 491-2225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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