Individual
RICHARD PASION DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HM61304379
Contact information
Practice address
1501 EVANSTON CT NE, OLYMPIA, WA 98506-1002
(360) 357-6125
(360) 455-4618
Mailing address
1501 EVANSTON CT NE, OLYMPIA, WA 98506-1002
(360) 357-6125
(360) 455-4618
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
755865
WA
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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