Individual
JANELLE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
730 EASTERN AVE, MALDEN, MA 02148-5924
(781) 395-0704
(781) 395-0198
Mailing address
2 WILBUR ST, WOBURN, MA 01801-3228
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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