Individual
MS. HELEN M DALLAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9255 S STARFISH AVE, FLORAL CITY, FL 34436-5603
(352) 341-2867
Mailing address
PO BOX 587, FLORAL CITY, FL 34436-0587
(352) 341-2867
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA33308
FL
Other
Enumeration date
01/05/2007
Last updated
10/01/2007
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