Individual
DANIELLE ALEXIS BUYEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
680 79TH TER N, 311, ST PETERSBURG, FL 33702-4392
(727) 600-2827
Mailing address
680 79TH TER N, 311, ST PETERSBURG, FL 33702-4392
(727) 600-2827
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA56672
FL
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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