Individual
MAYLIN C DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 WYTCHWOOD DR, METAIRIE, LA 70003-4551
(504) 249-0681
Mailing address
2901 WYTCHWOOD DR, METAIRIE, LA 70003-4551
(504) 249-0681
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4623
LA
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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