Individual
DIANA DENISE ELLERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
9010 FAIRWAY DR, STUDIO 123, ROSEVILLE, CA 95678-1988
(916) 532-3392
Mailing address
9010 FAIRWAY DR, STUDIO 123, ROSEVILLE, CA 95678-1988
(916) 532-3392
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
36842
CA
Other
Enumeration date
02/06/2013
Last updated
02/07/2013
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