Individual
DIANA LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7 HUTCHINS ST, SANTA RITA, GU 96915-1163
(671) 480-7208
Mailing address
7 HUTCHINS ST, SANTA RITA, GU 96915-1163
(671) 480-7208
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
72958
CA
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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