Individual
MYLIN DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7500 CENTRAL AVE, SUITE 203, PHILADELPHIA, PA 19111-2430
(215) 289-4434
Mailing address
7500 CENTRAL AVE, SUITE 203, PHILADELPHIA, PA 19111-2430
(215) 289-4434
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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