Jennifer L Cornette
Massage Therapist in Lake Mary, FL. Individual provider (NPI-1).
NPI number1710468137
StatusActive
Last updated in NPPESAug 23, 2018
Details
- NPI
- 1710468137
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jennifer L Cornette
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 23, 2018
- Last updated
- Aug 23, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA42934 | FL | Yes |
Practice location
3697 Lake Emma RdLake Mary, FL 32746-6121
Phone 407-506-2999
Mailing address
967 Cherry Branch CtLake Mary, FL 32746-1944
Phone 407-506-2999
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