Individual
DIANE DEYULIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
141 SW 15TH ST UNIT 47, BEND, OR 97702-1058
(541) 508-6581
Mailing address
PO BOX 342, BEND, OR 97709-0342
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20245
OR
Other
Enumeration date
05/15/2017
Last updated
03/17/2018
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