Individual
DIANA MAGALI SUZIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
105 E CASTELLANO DR STE C, EL PASO, TX 79912-6436
(915) 504-8974
Mailing address
105 E CASTELLANO DR STE C, EL PASO, TX 79912-6436
(915) 504-8974
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT125766
TX
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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