Organization
ENERGETIC EXPRESSIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ALYSON LEE DIEHL LMT (MANAGING MEMBER)
(407) 257-7239
Entity
Organization
Contact information
Practice address
407 LAKE HOWELL RD, SUITE #110, MAITLAND, FL 32751-5908
(407) 257-7239
Mailing address
407 LAKE HOWELL RD, SUITE #110, MAITLAND, FL 32751-5908
(407) 257-7239
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MM21115
FL
Other
Enumeration date
09/10/2008
Last updated
10/01/2008
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