Individual
JENIFFER DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14750 NW 44TH CT, OPA LOCKA, FL 33054-2304
(305) 953-2266
(305) 953-2251
Mailing address
1425 SW 122ND AVE, APT#10, MIAMI, FL 33184-2888
(305) 953-2266
(305) 953-2251
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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