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Individual

JOSHUA DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
3830 COMMONS AVE NE, ALBUQUERQUE, NM 87109-5831
(505) 424-1239
Mailing address
PO BOX 33286, SANTA FE, NM 87594-3286

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT9698
NM

Other

Enumeration date
02/07/2023
Last updated
02/07/2023
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