Individual
MS. DONNA G BURRELL SWAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1518 N DONNELLY ST, MOUNT DORA, FL 32757-2816
(352) 735-0044
Mailing address
1518 N DONNELLY ST, MOUNT DORA, FL 32757-2816
(352) 735-0044
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 19529
FL
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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