Deven Irene Mcphaul LMT

NPI 1639312184 - Massage Therapist - 225700000X

NPI Details
NPI 1639312184
Gender Female
Enumeration Date 04/14/2009
Last Updated 04/14/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
725 NAUTICA DR
SUITE 104
JACKSONVILLE FL, 32218-7255, US
Phone (904) 483-2222
Fax (904) 483-2221
Business Location
725 NAUTICA DR
SUITE 104
JACKSONVILLE FL, 32218-7255, US
Phone (904) 483-2222
Fax (904) 483-2221
Toxanomy
Taxonomy Code 225700000X
License State Florida
License Number MA50292
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According to our database, Deven Irene Mcphaul LMT NPI is 1639312184, taxonomy code is 225700000X and license number is MA50292, license state is located at Florida. Deven Irene Mcphaul LMT physically located at 725 Nautica Dr, Jacksonville FL, 32218-7255. NPI Number Deven Irene Mcphaul LMT has the Individual type.

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1639312184 NPI number is provided on an as is basis without warranty of any kind. 1639312184 is maintained by the National Plan & Provider Enumeration System. The contents of Deven Irene Mcphaul LMT are for informational purposes only.