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NPI Code Detail

MEDICARE: DIANA VALERIE ROBLEDO

MEDICARE: DIANA VALERIE ROBLEDO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMT-13177AZ

General Provider Information

NPI Number : 1215381298
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA VALERIE ROBLEDO
Provider Business Mailing Address
First Line : 281 W 24TH ST STE 147
Second Line :
City : YUMA
State : AZ
Zip : 85364-8587
Country : US
Telephone Number : 928-259-9362
Fax Number :
Provider Business Practice Location Address
First Line : 281 W 24TH STREET
Second Line : SUITE 147
City : YUMA
State : AZ
Zip : 85364-9257
Country : US
Telephone Number : 928-259-9362
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2016
Last Update Date : 08/16/2016

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Directions to “ DIANA VALERIE ROBLEDO ” Practice Location

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