MR. Desmond L Diaz

NPI #1720210222 in Dunnellon, Florida

Provider Information

NPI Number: 1720210222
Entity Type: Individual
Name: MR. Desmond L Diaz
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Aug 17, 2009
Last Updated: Aug 17, 2009

Practice Location

Address: 20726 W PENNSYLVANIA AVE
City: Dunnellon
State: Florida
ZIP Code: 34431-6717
Phone: (352) 465-5880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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