Individual
DIANCO MANUEL LOZANO CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 177TH DR APT 204, SUNNY ISLES BEACH, FL 33160-2842
(305) 713-3294
Mailing address
200 177TH DR APT 204, SUNNY ISLES BEACH, FL 33160-2842
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
77078
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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