Individual
DONNA BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CMRM. MMP
Contact information
Practice address
3105 LIMESTONE RD STE 305, WILMINGTON, DE 19808-2156
(302) 397-7125
Mailing address
348 JACOBS LOOP, BEAR, DE 19701-1329
(302) 397-7125
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-0003922
DE
Other
Enumeration date
09/27/2020
Last updated
09/27/2020
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