Individual
LAUREN DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2614 JIM ST, DALLAS, TX 75212
(214) 868-3280
Mailing address
2614 JIM ST, DALLAS, TX 75212
(214) 868-3280
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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