Individual
LEIDY DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5271 NW 5TH ST, MIAMI, FL 33126-5033
(786) 470-7209
Mailing address
5271 NW 5TH ST, MIAMI, FL 33126-5033
(786) 470-7209
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA62062
FL
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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