Individual
AMBER DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 W VERDUGO AVE # 9692, BURBANK, CA 91506-2150
(747) 261-7747
Mailing address
11605 N LAMAR BLVD, AUSTIN, TX 78753-2658
(737) 222-6996
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
41111
CA
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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