Individual
MISS AYLA DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9165 W THUNDERBIRD RD STE 200, PEORIA, AZ 85381-4847
(623) 876-3870
Mailing address
9165 W THUNDERBIRD RD STE 200, PEORIA, AZ 85381-4847
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6443
AZ
Other
Enumeration date
06/29/2016
Last updated
09/15/2016
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