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Individual

DELIA MARIE DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2814 S 108TH ST, WEST ALLIS, WI 53227-3224
(414) 885-3525
Mailing address
2217 W WISCONSIN AVE APT 1, MILWAUKEE, WI 53233-1942
(312) 273-3052

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
255407-30
WI

Other

Enumeration date
09/16/2020
Last updated
09/16/2020
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