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Individual

SUGEL ANDREINA DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
21-519
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
061918
COMMERCIAL INSURANCE
NY
05
10201992
FL
05
191820
NY
Enumeration date
09/20/2021
Last updated
05/11/2026
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