Individual
DIANA FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDICAL MASSAGE
Contact information
Practice address
221 W GRAND AVE STE 201, MONTVALE, NJ 07645-1729
(201) 307-9209
Mailing address
4 VAN BUREN AVE, BUTLER, NJ 07405-1116
(201) 334-8299
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01017700
NJ
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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