Individual
SARAH DIAZ-BASTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
626 FREDERICK ST, SANTA CRUZ, CA 95062-2203
(831) 239-5964
Mailing address
626 FREDERICK ST, SANTA CRUZ, CA 95062-2203
(831) 239-5964
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
42349
CA
Other
Enumeration date
03/16/2014
Last updated
03/16/2014
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