Individual
ANGELIQUE MARIE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2825 CAPITOL AVE, SACRAMENTO, CA 95816-6039
(916) 887-1130
Mailing address
3100 TELEGRAPH AVE, OAKLAND, CA 94609-3239
(800) 607-6377
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
CA
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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