Individual
JUANITA C DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16715 AURORA AVE N STE 102, SHORELINE, WA 98133-5310
(206) 546-9766
(206) 542-0326
Mailing address
16715 AURORA AVE N STE 102, SHORELINE, WA 98133-5310
(206) 546-9766
(206) 542-0326
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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