Diana Carol Beranek
NPI #1588111629 in St Augustine, Florida
Provider Information
- NPI Number
- 1588111629
- Entity Type
- Individual
- Name
- Diana Carol Beranek
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Sep 7, 2016
- Last Updated
- Sep 7, 2016
Practice Location
- Address
- 2600 US HIGHWAY 1 S STE 7
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32086-6193
- Phone
- (904) 708-1083
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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