Individual
TANIA GOICURIA-DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 LYCOMING AVE, MEDICAL, MCKINLEYVILLE, CA 95519-9308
(707) 839-6176
(707) 839-6178
Mailing address
2215 TYDD ST, APT#4D, EUREKA, CA 95501-1265
(254) 458-6385
(707) 839-6178
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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