| NPI | 1912742602 |
|---|---|
| Other Name | DIANELIS LOPEZ REYES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA102124) |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-06-26 |