Individual
DANIEL FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1273 OLD DANVILLE RD, AUBURN, ME 04210-8116
(207) 550-5511
Mailing address
1273 OLD DANVILLE RD, AUBURN, ME 04210-8116
(207) 550-5511
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT6780
ME
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
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