JESSIE JORGE DE LA PENA

JACKSONVILLE, FL
NPI1912234568
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: FL  MA51836)
Enumeration Date2009-11-03
Last Update Date2012-01-06
Business Address
-- JESSIE JORGE DE LA PENA LMT
6817 SOUTHPOINT PKWY
JACKSONVILLE, FL 32216-6282
Phone number: 904-683-3205
Mailing Address
-- JESSIE JORGE DE LA PENA LMT
6817 SOUTHPOINT PKWY
JACKSONVILLE, FL 32216-6282
Phone number: 904-683-3205
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