Individual
DONA O. WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3469 S DUPONT HWY, CAMDEN, DE 19934-1371
(302) 222-4960
Mailing address
14 PAUL REVERE CT, DOVER, DE 19904-7613
(302) 222-4960
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-0001809
DE
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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