Individual
DIANE KENDRICK DUFRESNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1200 E WOODHURST DR STE Q, SPRINGFIELD, MO 65804-4240
(417) 877-1300
(417) 877-1335
Mailing address
1151 S KIMBROUGH AVE, SPRINGFIELD, MO 65807-1624
(417) 370-0662
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2018006551
MO
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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