Individual
MISS DONNA M DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
122 43RD AVE, VERO BEACH, FL 32968-2377
(772) 794-1181
Mailing address
614 30TH AVE SW, VERO BEACH, FL 32968-3223
(772) 978-1202
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA47130
FL
Other
Enumeration date
05/01/2008
Last updated
06/18/2008
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