JACQUELINE L PROVENZANO
Massage Therapy at 63 Ln, West Palm Beach, FL

License number
Florida 81389
Issued Date
Mar 1, 2016
Effective Date
Mar 1, 2016
Expiration Date
Aug 31, 2017
Category
Health Care
Type
Massage Therapist
Address
Address
11158 63Rd Ln N, West Palm Beach, FL 33412
Phone
(734) 846-7955
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Jacqueline Provenzano
11158 63Rd Ln N, West Palm Beach, FL 33412

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