Ms Diana Grey, | |
240 Monterey Ave Apt 4, Capitola, CA 95010-3328 | |
(831) 402-0505 | |
Not Available |
Full Name | Ms Diana Grey |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 240 Monterey Ave Apt 4, Capitola, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104587047 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 58651 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ms Diana Grey, 240 Monterey Ave Apt 4, Capitola, CA 95010-3328 Ph: (831) 402-0505 | Ms Diana Grey, 240 Monterey Ave Apt 4, Capitola, CA 95010-3328 Ph: (831) 402-0505 |
Jerry Wallace Fulford, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 4170 Gross Rd. Extension, Suite 6, Capitola, CA 95010 Phone: 831-464-1605 | |
David William Fournier, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 4895 Capitola Rd, Capitola, CA 95010 Phone: 831-345-3763 |