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Individual

ROSSANA DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LE, CMT, MMP

Contact information

Practice address
222 N MOUNTAIN AVE STE 210A, UPLAND, CA 91786-5714
(833) 473-2233
Mailing address
1295 E 9TH ST APT 10, UPLAND, CA 91786-8108
(626) 905-6330

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
88703
CA

Other

Enumeration date
07/29/2022
Last updated
07/29/2022
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