Individual
DIEGO CONSTANTE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 KEITH ST SW STE 56, CLEVELAND, TN 37311-5867
(423) 559-0380
Mailing address
201 KEITH ST SW STE 56, CLEVELAND, TN 37311-5867
(423) 559-0380
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
000009177
TN
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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