Individual
MR. KIRVIN DOUGH SHAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPISTS
Contact information
Practice address
2250 GLADES RD, BOCA RATON, FL 33431-7314
(561) 416-1145
Mailing address
2250 GLADES RD, BOCA RATON, FL 33431-7314
(561) 416-1145
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
MA 24371
FL
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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