Individual
VIRGINIA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2555 BLUE WATER BLVD, ODENTON, MD 21113-3303
(301) 974-4143
Mailing address
2555 BLUE WATER BLVD, ODENTON, MD 21113-3303
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
MD
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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