Individual
JANIA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 N 1ST ST, YAKIMA, WA 98901-1702
(509) 248-4510
Mailing address
210 N 90TH AVE, YAKIMA, WA 98908-1420
(786) 715-6274
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MDCE.ML.61488954
WA
390200000X
Student in an Organized Health Care Education/Training Program
16001-I
PR
Other
Enumeration date
02/08/2022
Last updated
10/18/2023
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