Individual
PATRICIA F DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1915 OXFORD LN, CASPER, WY 82604-3216
(307) 333-1340
Mailing address
1915 OXFORD LN, CASPER, WY 82604-3216
(307) 333-1340
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
HLTH-000604-2023
WY
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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