Individual
DIANA MARIE SLOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1266 E REPUBLIC RD, SPRINGFIELD, MO 65804-7209
(417) 882-1000
Mailing address
1530 E ERIE ST APT B3061530, SPRINGFIELD, MO 65804-4596
(417) 316-0850
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2019022657
MO
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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