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Individual

ROBERTO DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
99-080 KAUHALE ST STE D9, AIEA, HI 96701-4114
(808) 637-2608
Mailing address
99-080 KAUHALE ST STE D9, AIEA, HI 96701-4114

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
36775
CA
111N00000X
Chiropractor
Primary
DC-1600-0
HI

Other

Enumeration date
10/05/2023
Last updated
05/16/2024
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