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Jacqueline Marie Green, LMT
Specialist in Ormond Beach, Florida
NPI 1912230798

Jacqueline Marie Green is a Specialist based in Ormond Beach, FL. Jacqueline Marie Green practices in Ormond Beach, FL and has the professional credentials of LMT. The NPI Number for Jacqueline Marie Green is 1912230798 and holds a License No. MA27392 (Florida).

The current practice location address for Jacqueline Marie Green is 37 Sandpiper Cir, Ormond Beach, FL and can be reached out via phone at 386-405-6181.

Location: 37 Sandpiper Cir, Ormond Beach, FL, 32174-6042
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912230798
Provider Name
Jacqueline Marie Green
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
37 Sandpiper Cir, Ormond Beach, FL, 32174-6042
Phone Number
386-405-6181
Fax Number
Provider Enumeration Date
09/11/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
37 Sandpiper Cir
City
Ormond Beach
State
Florida
Zip
32174-6042
Phone Number
386-405-6181
Fax Number
person
Provider Business Mailing Address Details
Address
37 Sandpiper Cir
City
Ormond Beach
State
Florida
Zip
32174-6042
Phone Number
386-405-6181
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA27392 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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