Individual
PAOLA MARIE RIVERA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14780 W MOUNTAIN VIEW BLVD STE 110, SURPRISE, AZ 85374-7280
(623) 845-2528
Mailing address
25716 N SANDSTONE WAY, SURPRISE, AZ 85387-6839
(623) 845-2528
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
AZ
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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