Individual
DIANA MARIA TIGOUDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 W BUSCH BLVD, TAMPA, FL 33612-7900
(813) 915-1588
Mailing address
205 W BUSCH BLVD, TAMPA, FL 33612-7900
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA36675
FL
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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