Individual
RICHARD PAUL DIAZ II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1919 W ESTES AVE APT 2N, CHICAGO, IL 60626-2346
(773) 979-0628
Mailing address
1919 W ESTES AVE APT 2N, CHICAGO, IL 60626-2346
(773) 979-0628
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.017083
IL
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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