Organization
CHENANIAH WHOLE HEALING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACIE S DIAZ LMT (MASSAGE THERAPIST)
(917) 400-1294
Entity
Organization
Contact information
Practice address
17224 133RD AVE APT 11E, JAMAICA, NY 11434-3903
(917) 400-1294
Mailing address
17224 133RD AVE APT 11E, JAMAICA, NY 11434-3903
(917) 400-1294
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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