Individual
JESSICA FLORINA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10829 S CALHOUN AVE BSMT, CHICAGO, IL 60617-6421
(773) 793-3946
Mailing address
10829 S CALHOUN AVE BSMT, CHICAGO, IL 60617-6421
(773) 793-3946
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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