Individual
ALFONSO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1555 S AVENUE B, YUMA, AZ 85364-4324
(928) 819-0208
Mailing address
1555 S AVENUE B, YUMA, AZ 85364-4324
(928) 819-0208
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
I027118
AZ
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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