Individual
JEAN A DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMP
Contact information
Practice address
7216 US HIGHWAY 301 N, SUITE 108, ELLENTON, FL 34222-3462
(941) 448-1408
Mailing address
7216 US HIGHWAY 301 N, SUITE 108, ELLENTON, FL 34222-3462
(941) 448-1408
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA35633
FL
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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