MS. Diane Michelle Miollis, LMP

NPI #1265625628 in Longview, Washington

Provider Information

NPI Number: 1265625628
Entity Type: Individual
Name: MS. Diane Michelle Miollis, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Aug 20, 2007
Last Updated: Aug 20, 2007

Practice Location

Address: 1424 16TH AVE
City: Longview
State: Washington
ZIP Code: 98632-2901
Phone: (360) 425-6620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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