Individual
MS. DIADRA DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2233 HAMLINE AVE N, SUITE 125, ROSEVILLE, MN 55113
(651) 633-9106
Mailing address
2233 HAMLINE AVE N, SUITE 125, ROSEVILLE, MN 55113
(651) 633-9106
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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