Individual
YAIMARA DIAZ VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 LAUGHLIN DR, LOCUST GROVE, GA 30248-6015
(770) 286-5114
(888) 493-4555
Mailing address
116 LAUGHLIN DR, LOCUST GROVE, GA 30248-6015
(770) 286-5114
(888) 493-4555
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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