Individual
DR. LEONORA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4695 QUAKER HILL DR SE, KENTWOOD, MI 49512-8412
(787) 565-3917
Mailing address
4695 QUAKER HILL DR SE, KENTWOOD, MI 49512-8412
(787) 565-3917
(787) 807-7641
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301067020
MI
208D00000X
General Practice Physician
6136
PR
Other
Enumeration date
06/09/2006
Last updated
03/30/2021
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