Individual
ESTEBAN GUILLERMO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
1607 W BETHANY HOME RD, PHOENIX, AZ 85015-2507
(602) 249-7272
Mailing address
635 S ELLIS ST APT 1081, CHANDLER, AZ 85224-4958
(305) 572-8300
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO-003407
AZ
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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