Individual
DONNETTE N. BEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
7426 STATE ROAD 21, KEYSTONE HEIGHTS, FL 32656
(253) 473-6053
(352) 473-6053
Mailing address
PO BOX 306, LAKE GENEVA, FL 32160-0306
(352) 473-6053
(352) 473-6053
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA46238
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C6783
BCBS
FL
Enumeration date
07/14/2006
Last updated
04/23/2014
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