Tina Michelle Claybourn, LMT

NPI #1184024994 in New Smyrna Beach, Florida

Provider Information

NPI Number: 1184024994
Entity Type: Individual
Name: Tina Michelle Claybourn, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Credential: LMT
Enumeration Date: Aug 28, 2014
Last Updated: Aug 28, 2014

Practice Location

Address: 376 N SAMSULA DR
City: New Smyrna Beach
State: Florida
ZIP Code: 32168-8786
Phone: (386) 500-8032

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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