Individual
PAULA T DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
6023 10TH AVE N APT 215, GREENACRES, FL 33463-1657
(561) 541-1210
Mailing address
6023 10TH AVE N APT 215, GREENACRES, FL 33463-1657
(561) 541-1210
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
MA 62427
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA 62427
MASSAGE THERAPIST
FL
Enumeration date
10/07/2011
Last updated
10/07/2011
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