Individual
DIANA MARIE GERARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
21 E WASHINGTON ST, GRAFTON, WV 26354-1326
(304) 669-3070
Mailing address
21 E WASHINGTON ST, GRAFTON, WV 26354-1326
(304) 669-3070
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2005-1868
WV
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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