Individual
DIANNA VERNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, NMT
Contact information
Practice address
750 AN COUNTY ROAD 451, PALESTINE, TX 75803-0408
(817) 343-6189
Mailing address
750 AN COUNTY ROAD 451, PALESTINE, TX 75803-0408
(817) 343-6189
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT030571
TX
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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