Individual
MARISSA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
141 TWIN OAKS DR, RACELAND, LA 70394-2761
(985) 537-2666
(985) 537-1986
Mailing address
141 TWIN OAKS DR, RACELAND, LA 70394-2761
(985) 537-2666
(985) 537-1986
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
200840
LA
363A00000X
Physician Assistant
Primary
887
LA
Other
Enumeration date
05/26/2015
Last updated
08/06/2026
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