Provider Demographics
NPI:1366794752
Name:SAINTVIL, DONNA HOWARD (LMBT)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:HOWARD
Last Name:SAINTVIL
Suffix:
Gender:F
Credentials:LMBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 BRIDFORD DOWNS DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-2767
Mailing Address - Country:US
Mailing Address - Phone:252-468-2147
Mailing Address - Fax:
Practice Address - Street 1:16147 LANCASTER HWY
Practice Address - Street 2:110
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-2050
Practice Address - Country:US
Practice Address - Phone:252-468-2147
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-09
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12061225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist