Individual
MS. YSMARAY DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1411 N WESTSHORE BLVD, TAMPA, FL 33607
(813) 506-4419
Mailing address
1411 N WESTSHORE BLVD, TAMPA, FL 33607-4515
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
MA62393
FL
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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