JOSE DIAZ, MA6056739

MA6056739

Specialist

NPI: 1265815260Individual

Specialties, Licenses & Credentials

SpecialistPrimary

Specialist

Code: 174400000X

MA 6056739(WA)

Contact & Hours

Address: 2330 MOTTMAN RD SW, SUITE 106
TUMWATER, WA 98512
Phone: (360) 520-1917

Quick Facts

NPI: 1265815260
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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