Individual
MANDY DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1609 CORTE DEL SOL NW, ALBUQUERQUE, NM 87105-3221
(336) 624-8936
Mailing address
1609 CORTE DEL SOL NW, ALBUQUERQUE, NM 87105-3221
(336) 624-8936
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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