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Ms. Diane Lee Heron, LMT
Specialist in St Petersburg, Florida
NPI 1295040541

Diane Lee Heron is a Specialist based in St Petersburg, FL. Diane Lee Heron practices in St Petersburg, FL and has the professional credentials of LMT. The NPI Number for Diane Lee Heron is 1295040541 and holds a License No. MA49357 (Florida).

The current practice location address for Diane Lee Heron is 105 5Th Ave Ne, St Petersburg, FL and can be reached out via phone at 727-238-0595.

Location: 105 5Th Ave Ne, St Petersburg, FL, 33701-3015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295040541
Provider Name
Diane Lee Heron
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
105 5Th Ave Ne, St Petersburg, FL, 33701-3015
Phone Number
727-238-0595
Fax Number
Provider Enumeration Date
08/11/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
105 5Th Ave Ne
City
St Petersburg
State
Florida
Zip
33701-3015
Phone Number
727-238-0595
Fax Number
person
Provider Business Mailing Address Details
Address
105 5Th Ave Ne
City
St Petersburg
State
Florida
Zip
33701-3015
Phone Number
727-238-0595
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA49357 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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