Dianalynne E Fortin, LMT

NPI #1295973998 in Saint Augustine, Florida

Provider Information

NPI Number
1295973998
Entity Type
Individual
Name
Dianalynne E Fortin, LMT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Feb 3, 2009
Last Updated
Sep 21, 2010

Practice Location

Address
344 PASEO REYES DR
State
Florida
ZIP Code
32095-8464
Phone
(904) 392-6444

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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