Individual
MS. DIANA GREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 MONTEREY AVE APT 4, CAPITOLA, CA 95010-3328
(831) 402-0505
Mailing address
240 MONTEREY AVE APT 4, CAPITOLA, CA 95010-3328
(831) 402-0505
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
58651
CA
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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