Individual
CRYSTAL ALICIA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1521 OLIVE CT, SAINT CLOUD, FL 34771-8069
(813) 479-8004
Mailing address
1521 OLIVE CT, SAINT CLOUD, FL 34771-8069
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
106333
FL
Other
Enumeration date
12/20/2024
Last updated
02/06/2025
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