Individual
ELIZABETH IDALIA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 PARKCENTER DR STE 235, SANTA ANA, CA 92705-3588
(540) 684-1871
Mailing address
801 PARKCENTER DR STE 235, SANTA ANA, CA 92705-3588
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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