Individual
BONNIE J DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
8500 BELCHER RD, APARTMENT 1204, PINELLAS PARK, FL 33781-1015
(727) 239-3265
Mailing address
8500 BELCHER RD, APARTMENT 1204, PINELLAS PARK, FL 33781-1015
(727) 239-3265
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA26242
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA26242
STATE LICENSE
FL
Enumeration date
06/07/2007
Last updated
07/08/2007
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