Mrs Jacqueline Paula Wiesner, | |
13180 N Cleveland Ave Ste 117, North Fort Myers, FL 33903-6230 | |
(239) 218-3764 | |
Not Available |
Full Name | Mrs Jacqueline Paula Wiesner |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 13180 N Cleveland Ave Ste 117, North Fort Myers, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760998173 | NPI | - | NPPES |
675966100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | MA13010 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Jacqueline Paula Wiesner, 4312 S Gulf Cir, North Fort Myers, FL 33903-5046 Ph: (239) 218-3764 | Mrs Jacqueline Paula Wiesner, 13180 N Cleveland Ave Ste 117, North Fort Myers, FL 33903-6230 Ph: (239) 218-3764 |
Alexandra G Bowen Cruzati, MASSAGE THERAPIST Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1912 W Lakeview Blvd, North Fort Myers, FL 33903 Phone: 239-645-1827 | |
Claudia Rodriguez, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 7728 Mcdaniel Dr, North Fort Myers, FL 33917 Phone: 123-989-5692 |