Individual provider · NPI-1

Maribel Diaz

Massage Therapist · Indio, CA

NPI number1700337185
StatusActive
Last updated in NPPESJan 21, 2019

Details

NPI
1700337185
Entity type
Individual (NPI-1)
Name
Maribel Diaz
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 20, 2016
Last updated
Jan 21, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist62147CAYes

Practice location

82683 Cody Dr
Indio, CA 92203-3157

Phone 760-695-4202

Mailing address

82683 Cody Dr
Indio, CA 92203-3157

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