Individual
MISS JULIA KATE DIEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
823 LAUREL ST, PALATKA, FL 32177-5151
(386) 325-7257
Mailing address
823 LAUREL ST, PALATKA, FL 32177-5151
(386) 325-7257
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA16731
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2596
BCBSFL
FL
Enumeration date
04/27/2011
Last updated
04/27/2011
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