Individual
DORA DEL CARMEN DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
18781 SW 291ST TER, HOMESTEAD, FL 33030-3014
(305) 248-6695
Mailing address
18781 SW 291ST TER, HOMESTEAD, FL 33030-3014
(305) 248-6695
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
MA37303
FL
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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