Individual
JOSE GUADALUPE DIAZ-PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
421 CHAPANOKE RD STE 116, RALEIGH, NC 27603-3690
(919) 679-9669
Mailing address
75 MACINTOSH LN, HENDERSONVILLE, NC 28792-5697
(828) 708-3215
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-15016
NC
Other
Enumeration date
11/14/2022
Last updated
05/15/2025
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