Individual
JACQUELINE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FOGG RD, WEYMOUTH, MA 02190-2432
(781) 624-8000
Mailing address
35 ASTICOU RD APT 1, BOSTON, MA 02130-3501
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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