Individual
ELVIRA R DIEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 BLUEWOOD TER, WESTON, FL 33327-2049
(954) 822-9728
Mailing address
950 BLUEWOOD TER, WESTON, FL 33327-2049
(954) 822-9728
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO5566
FL
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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