Diane Jussila Pateman

NPI #1306360284 in Petoskey, Michigan

Provider Information

NPI Number: 1306360284
Entity Type: Individual
Name: Diane Jussila Pateman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Aug 1, 2017
Last Updated: Aug 1, 2017

Practice Location

Address: 1523 US HIGHWAY 131 STE C
City: Petoskey
State: Michigan
ZIP Code: 49770-8891
Phone: (231) 347-7272

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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