Individual
ELIZABETH SHEA DAIGNAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9070 58TH DR E STE 103, BRADENTON, FL 34202-6110
(941) 587-9198
Mailing address
9070 58TH DR E STE 103, BRADENTON, FL 34202-6110
(941) 587-9198
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA58779
FL
Other
Enumeration date
04/16/2010
Last updated
04/16/2010
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