Individual
LETICIA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
512 S WESTGATE DR STE A, WESLACO, TX 78596-6296
(956) 351-5050
Mailing address
5710 ASTAIRE AVE, EDINBURG, TX 78542-1556
(956) 961-2970
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
34441
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300844998
—
TX
Enumeration date
08/21/2018
Last updated
08/21/2018
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