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Individual

DIANA V CORDOBA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
205 N 7TH ST, OPELIKA, AL 36801-4233
(334) 737-1400
Mailing address
3714 WILLIS RD APT 11, COLUMBUS, GA 31904-4720
(706) 393-0525

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6122
AL

Other

Enumeration date
01/20/2023
Last updated
01/20/2023
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