Individual
AEIMEE GLORIA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
301 W ROOSEVELT ST, SUITE #2, PHOENIX, AZ 85003-1376
(602) 307-0888
(602) 307-0888
Mailing address
301 W ROOSEVELT ST, SUITE #2, PHOENIX, AZ 85003-1376
(602) 307-0888
(602) 307-0888
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0764
AZ
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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