Individual
DIANA CARUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4104 CHARLEE LN, THE VILLAGES, FL 32163-0678
(941) 451-9122
Mailing address
4104 CHARLEE LN, THE VILLAGES, FL 32163-0678
(941) 451-9122
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
72474
FL
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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