Individual
DIANA MARISCAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5836 PETUNIA LN, ORLANDO, FL 32821-5511
(407) 731-4511
Mailing address
5836 PETUNIA LN, ORLANDO, FL 32821-5511
(407) 731-4511
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2676
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP2676
ACUPUNCTURE
FL
01
—
MA44739
MASSAGE THERAPY
FL
Enumeration date
04/16/2009
Last updated
04/16/2009
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