Individual
LYDIA DIANE MORALES LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
PO BOX 629, MOCA, PR 00676-0629
(469) 279-1994
Mailing address
HC 5 BOX 7908, YAUCO, PR 00698-9736
(469) 279-1994
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
955
PR
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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