Individual
DIANELIS LOPEZ REYES I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 E 13TH ST APT 1, 8300 W FLAGLER ST SUITE 254 C, MIAMI, FL 33144
(786) 801-0107
(786) 860-5159
Mailing address
8300 W FLAGLER ST STE 254C, MIAMI, FL 33144-6002
(786) 801-0107
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA102124
FL
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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