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Individual

DR. JANICE MARIEL DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4505 ALBERTA AVE, EL PASO, TX 79905-2727
(915) 532-1447
Mailing address
4505 ALBERTA AVE, EL PASO, TX 79905
(915) 532-1447

Taxonomy

Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
263683
NY
207ZF0201X
Forensic Pathology Physician
Primary
Q0902
TX

Other

Enumeration date
12/05/2006
Last updated
07/26/2017
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