Individual
MRS. DIANE S FIEGL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT,MTPT
Contact information
Practice address
3556 TIDAL MARSH DR, JACKSONVILLE, FL 32250-2231
(904) 223-9644
Mailing address
3556 TIDAL MARSH DR, JACKSONVILLE, FL 32250-2231
(904) 223-9644
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA29617
FL
Other
Enumeration date
03/27/2010
Last updated
03/27/2010
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