Individual
MS. DONNA MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
570 OCEAN DR, #501, JUNO BEACH, FL 33408-1952
(954) 476-6401
(954) 476-3598
Mailing address
348 S FEDERAL HWY, #22, DANIA BEACH, FL 33004-4163
(954) 303-2904
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 3671
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA3671
LICENSED MASSAGE THERAPIST
FL
Enumeration date
06/08/2010
Last updated
06/08/2010
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