Individual
DAMIEN DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DAC
Contact information
Practice address
1025 BAILES RIDGE AVE APT 9-108, FORT MILL, SC 29707-0141
(941) 278-2920
Mailing address
1025 BAILES RIDGE AVE APT 9-108, FORT MILL, SC 29707-0141
(941) 278-2920
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
2222
NC
171100000X
Acupuncturist
Primary
417
SC
225700000X
Massage Therapist
13596
SC
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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