Individual
MS. IRENE W DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1841 LOMBARD ST, SAN FRANCISCO, CA 94123-2909
(415) 921-1296
Mailing address
1841 LOMBARD ST, SAN FRANCISCO, CA 94123-2909
(415) 921-1296
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
31859
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31859
CALIFRONIA MASSAGE THERAPY COUNCIL
CA
Enumeration date
12/12/2012
Last updated
12/12/2012
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