Individual
ALIEN DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 SW 80 CT, MIAMI, FL 33155
(786) 523-2814
Mailing address
2000 SW 80TH CT, MIAMI, FL 33155-1254
(786) 523-2814
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 61970
FL
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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