Individual
DR. GINA ROSE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
135 W DARES BEACH RD STE 102, PRINCE FREDERICK, MD 20678-3127
(443) 295-7100
(443) 295-7555
Mailing address
135 W DARES BEACH RD STE 102, PRINCE FREDERICK, MD 20678-3127
(443) 295-7100
(301) 295-7555
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
01289
MD
Other
Enumeration date
09/16/2013
Last updated
04/30/2019
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