Individual
JASMIN NATALY DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1714 W ANKLAM RD STE 104, TUCSON, AZ 85745-2661
(520) 838-3540
(520) 325-3526
Mailing address
555 E RIVER RD STE 101, TUCSON, AZ 85704-5843
(520) 838-3540
(520) 325-3526
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9967
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
AZ
Other
Enumeration date
12/09/2022
Last updated
11/14/2023
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