Most Relevant Information
Provider Data
| NPI Number: | 1003585639 |
| Provider Name: | JAMIE DESIREE PAUGAM |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA90937 |
Most Important Dates
| Enumeration Date: | 09/08/2021 |
| Last Updated: | 09/08/2021 |
Provider Practice Location
1656 RIVER RD APT 16
JACKSONVILLE
FL
322071038
Practice Location Phone/Fax
| Phone: | 7866470234 |
| Fax: |
Provider Mailing Location
1656 RIVER RD APT 16
JACKSONVILLE
FL
322071038
Provider Mailing Phone/Fax
| Phone: | 7866470234 |
| Fax: |