Individual
ANN MARIE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4646 W FREMONT RD, LAVEEN, AZ 85339-4277
(623) 281-9484
Mailing address
4646 W FREMONT RD, LAVEEN, AZ 85339-4277
(623) 281-9484
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-29964
AZ
Other
Enumeration date
07/16/2024
Last updated
08/07/2024
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