Langston, Mary Jessica

Langston, Mary Jessica is an individual health care provider with primary practice located at 1040 Gulf Breeze Pkwy Ste 101 , Gulf Breeze FL 32561-7808. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Langston, Mary Jessica can be contacted via phone (850) 598-7456.

Contact Information

Primary practice address
1040 Gulf Breeze Pkwy Ste 101 Gulf Breeze FL 32561-7808
Phone: (850) 598-7456
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AL3372 Florida

Profile Details

NPI number 1154795219
LBN Legal business name Langston, Mary Jessica
Credentials MS, ATC, LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2015
Last updated Nov 30th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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