Individual
MS. DIANA FOGLE BIANCHET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6322 GUNN HWY, TAMPA, FL 33625-4105
(813) 864-3998
(813) 864-3141
Mailing address
3037 CLOVER BLOSSOM CIR, LAND O LAKES, FL 34638-7985
(703) 220-9864
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 52905
FL
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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