Individual
SVETLANA DIAKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
3030 SUNCREST DR UNIT 604, SAN DIEGO, CA 92116-1542
(858) 888-6638
Mailing address
3030 SUNCREST DR UNIT 604, SAN DIEGO, CA 92116-1542
(858) 888-6638
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
58777
CA
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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