Individual
DIANA VALENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8541 ABINGDON RD, KEW GARDENS, NY 11415-2701
(646) 431-4770
Mailing address
8541 ABINGDON RD, KEW GARDENS, NY 11415-2701
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0182021
NY
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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