Individual
HOLLY GAYLE DIDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AP
Contact information
Practice address
4547 GUNN HWY, TAMPA, FL 33624-6311
(813) 963-0110
(813) 961-4777
Mailing address
3011 W CLINTON ST, TAMPA, FL 33614-3438
(813) 964-8299
(813) 932-8922
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP952
FL
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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