Individual
PRISCILLA DIANE DIAZDELEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
12019 INDIGO BND, SAN ANTONIO, TX 78230-2905
(949) 606-2818
Mailing address
12019 INDIGO BND, SAN ANTONIO, TX 78230-2905
(949) 606-2818
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
105707
TX
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/11/2011
Last updated
02/07/2024
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