Individual
DIEGO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6219 S 39TH ST, OMAHA, NE 68107-3802
(402) 999-3417
Mailing address
6219 S 39TH ST, OMAHA, NE 68107-3802
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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