Individual
MARIA CARMEN DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34 GIFFORD ST, NEW BEDFORD, MA 02744-2610
(508) 999-3126
(508) 991-8409
Mailing address
34 GIFFORD ST, NEW BEDFORD, MA 02744-2610
(508) 999-3126
(508) 991-8409
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
374700000X
Technician
—
—
Other
Enumeration date
03/01/2022
Last updated
03/02/2022
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