Individual
DIANA P LUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED OPTICIAN
Contact information
Practice address
2501 S AVENUE B, YUMA, AZ 85364-7734
(928) 317-6874
(928) 317-6876
Mailing address
1874 S 17TH AVE, YUMA, AZ 85364-5354
(928) 287-9138
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
2386I
AZ
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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