# MAGALY PAEZ DICANIO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1760432330
- **Gender:** F
- **Credential:** A.P., D.O.M.,LMT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP 579 | FL | Yes |
| 225700000X | Massage Therapist | MA 40826 | FL | — |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 06/21/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | C0259 | BLUE CROSS BLUE SHIELD | FL |
| 01 | — | C0496 | BLUE CROSS BLUE SHIELD | FL |
| 01 | — | C2736 | BLUE CROSS BLUE SHIELD | FL |