Individual
MRS. DONNA LYNN IDALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
265 SEVEN SPRINGS RD, CLEVELAND, NC 27013-9771
(704) 267-4174
Mailing address
265 SEVEN SPRINGS RD, CLEVELAND, NC 27013-9771
(704) 267-4174
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
09552
NC
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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