Individual
MIRNA RAMOS DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
518 W 1ST AVE, TOPPENISH, WA 98948-1564
(509) 865-5600
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 865-5898
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00036855
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153250
L & I
WA
01
—
28373
GROUP HEALTH
—
01
—
8235087
CHPW
WA
05
—
8235087
—
WA
01
—
911019392
COMMERCIAL
—
01
—
9340DI
REGENCE
WA
Enumeration date
10/05/2006
Last updated
12/20/2012
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