# MISS DIANA LISA FERNANDES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1770753667
- **Gender:** F
- **Credential:** LIC. AC., M.A.O.M.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 233902 | MA | Yes |

## Other

- **Enumeration date:** 03/06/2008
- **Last updated:** 08/16/2016