Individual
DIANA Y LELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15000 CITRUS COUNTRY DR, SUITE 212, DADE CITY, FL 33523
(813) 469-1404
Mailing address
4744 TIMBER WAY, ZEPHYRHILLS, FL 33542-6518
(813) 779-2362
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA41437
FL
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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