Individual
DANIELLE BRASWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
158 PORTER AVE, BILOXI, MS 39530-3724
(540) 834-6064
Mailing address
158 PORTER AVE, BILOXI, MS 39530-3724
(540) 834-6064
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
0019016323
VA
225700000X
Massage Therapist
Primary
3851
MS
Other
Enumeration date
12/08/2021
Last updated
11/18/2024
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