Individual
ANNETTE DIKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 GEORGE MILLER RD, HASTINGS, FL 32145-4416
(702) 526-4051
Mailing address
201 GEORGE MILLER RD, HASTINGS, FL 32145-4416
(702) 526-4051
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA74380
MASSAGE LICENSE
FL
Enumeration date
02/03/2023
Last updated
02/03/2023
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