Individual
MRS. ANA PATRICIA DIAZ-KELLEHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
3239 ADAMS AVE, SAN DIEGO, CA 92116-1645
(619) 546-4806
Mailing address
4166 4TH AVE, 102, SAN DIEGO, CA 92103-1444
(619) 683-9212
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4875
CA
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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