DIANA CAROL BERANEK

ST AUGUSTINE, FL
NPI1588111629
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: FL  MA25001)
Enumeration Date2016-09-07
Last Update Date2016-09-07
Business Address
DIANA CAROL BERANEK
2600 US HIGHWAY 1 S STE 7
ST AUGUSTINE, FL 32086-6193
Phone number: 904-708-1083
Mailing Address
DIANA CAROL BERANEK
2600 US HIGHWAY 1 S STE 7
ST AUGUSTINE, FL 32086-6193
Phone number: 904-708-1083